Kaitlyn Parker, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

4819 Ihles Rd
Lake Charles, LA 70605-5900

Phone

(337) 602-6247

NPI assigned

Sep 15, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sprouts Behavior Development Center

  • Community/Behavioral Health Agency
  • Lake Charles, LA
  • NPI 1891149787
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614902400000",
    "number": "1003421058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4819 IHLES RD",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706055900",
            "telephone_number": "337-602-6247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4819 IHLES RD",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706055900",
            "telephone_number": "337-602-6247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "KAITLYN",
        "credential": "BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-15",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "sproutsbdc.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "4819 Ihles Rd",
            "city": "Lake Charles",
            "state": "LA",
            "country_code": "US",
            "postal_code": "706055900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dalmacio S Paraguya, MD
• Luzviminda T Paraguya, MD
• Jessica Pardo, SLP
• George Lock Paret III, RPH
• Donald R. Parker, M.D.
• Karl Sylvester Parker
• Kenneth W Parks, DDS
• Michaelynn Joyce Parks, LCSW
• Roberta Arnold Parks
• Natalie Alese Parsley

• Behavior Analyst in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Behavior Analyst in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.