Provider Demographics
NPI:1811735897
Name:SHIYOU, BROOK (MA, BCBA)
Entity type:Individual
Prefix:MRS
First Name:BROOK
Middle Name:
Last Name:SHIYOU
Suffix:
Gender:F
Credentials:MA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:SULPHUR
Mailing Address - State:LA
Mailing Address - Zip Code:70663-3461
Mailing Address - Country:US
Mailing Address - Phone:885-454-9058
Mailing Address - Fax:
Practice Address - Street 1:700 1ST AVE
Practice Address - Street 2:
Practice Address - City:SULPHUR
Practice Address - State:LA
Practice Address - Zip Code:70663-3461
Practice Address - Country:US
Practice Address - Phone:888-454-9058
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-16
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst