Victoria Michel Boesen, MA, BCABA
Individual provider Active NPI Assistant Behavior Analyst · Prairieville, LA
NPI 1003597626 · NPPES record last updated Jul 27, 2023
Key facts
- NPI
- 1003597626
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Assistant Behavior Analyst 106E00000X
- License
- 0-23-14540 (LA)
- Practice address
- 17520 Old Jefferson Hwy
Prairieville, LA 70769-3903 - Phone
- (225) 300-6710
- NPI assigned
- Jul 27, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gulf South BR - ABA, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | 0-23-14540 | LA | Yes |
Addresses
Primary practice location
17520 Old Jefferson Hwy
Prairieville, LA 70769-3903
Mailing address
14507 Essen Terrace Dr
Gonzales, LA 70737-7164
Phone (985) 233-1074
Other providers in Prairieville, LA
- Adrienne Lewis Bleakley
- Blessed Hands Private Care LLC
- Cortney Bloom
- Charleese Boatmon
- Krysta Danee' Boatner
- Sundiata Bondojia
- Aleshia A Borskey
- Bourgeois Physical Therapy and Sports Rehab LLC
- Breanne Bourgeois
- Christian B Bourgeois
All providers in Prairieville, LA · Assistant Behavior Analyst in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.