1881530798 NPI number — WONDER BEHAVIORAL SERVICES LLC

Table of content: BRIANA NIKHOL STEELE OTR (NPI 1962348870)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881530798 NPI number — WONDER BEHAVIORAL SERVICES LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WONDER BEHAVIORAL SERVICES LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1881530798
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/24/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
607 FENETRE RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SCOTT
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70583-5508
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
337-257-7754
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
607 FENETRE RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SCOTT
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70583-5508
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
337-257-7754
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/24/2026

Additional Information

Authorized Official

Authorized Official Last Name:
PREJEAN
Authorized Official First Name:
CLAIRE
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER/ BEHAVIOR ANALYST
Authorized Official Telephone Number:
337-257-7754

Provider Taxonomy Codes

  • Taxonomy code: 103K00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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