NPIMap

Organization Active NPI

Behavioral Developmental Services

  • Behavior Analyst
  • Monroe, LA
National Provider Identifier
1023454451
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
L-005 Issued in LA
Legal business name
BEHAVIORAL DEVELOPMENTAL SERVICES
Practice address
3201 Armand St
Monroe, LA 71201-3915
Phone
(318) 600-6640
Fax
(318) 605-2662
NPI assigned
May 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Mr. Lloyd J Boudloche Jr., BCBANPI 1912236084
Title
Owner/Therapist
Phone
(318) 600-6640

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 4601 LA
Behavior AnalystGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103K00000X L-005 LA Primary

Addresses

Primary practice location

3201 Armand St
Monroe, LA 71201-3915

Mailing address

PO Box 1148
West Monroe, LA 71294
Phone (318) 600-6640

Other practice location 1

107 McMillan Rd
West Monroe, LA 71291-5319
Phone (318) 600-6640

Other practice location 2

1002 S Vienna St
Ruston, LA 71270-5832
Phone (318) 600-6640

Other identifiers 1

IdentifierTypeStateIssuer
2349376MedicaidLA

National Provider Directory

National Provider Directory

Locations

3201 Armand St
Monroe, LA 71201
Phone (318) 600-6640

1002 S Vienna St
Ruston, LA 71270
Phone (318) 255-9105

107 McMillan Rd
West Monroe, LA 71291
Phone (318) 600-6640

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1368403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1023454451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1148",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "71294",
            "telephone_number": "318-600-6640",
            "fax_number": "866-405-4542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 ARMAND ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013915",
            "telephone_number": "318-600-6640",
            "fax_number": "318-605-2662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 McMillan Rd",
            "address_purpose": "LOCATION",
            "city": "West Monroe",
            "state": "LA",
            "postal_code": "712915319",
            "country_code": "US",
            "telephone_number": "318-600-6640",
            "fax_number": "318-605-2662",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1002 S Vienna St",
            "address_purpose": "LOCATION",
            "city": "Ruston",
            "state": "LA",
            "postal_code": "712705832",
            "country_code": "US",
            "telephone_number": "318-600-6640",
            "fax_number": "318-605-2662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BEHAVIORAL DEVELOPMENTAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-13",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "BOUDLOCHE",
        "authorized_official_first_name": "LLOYD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "318-600-6640",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "4601",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "LA",
            "license": "L-005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2349376",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.