Organization Active NPI

Saint Nicholas Center for Early Intervention

  • Behavior Analyst
  • Lake Charles, LA
National Provider Identifier
1033441126
Registry record updated Dec 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
SAINT NICHOLAS CENTER FOR EARLY INTERVENTION
Practice address
314 Broad St
Suite B
Lake Charles, LA 70601-4224
Phone
(337) 491-0800
Fax
(337) 491-0508
NPI assigned
Feb 1, 2010
Last updated
Dec 9, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2011

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

Authorized official

Name
Mrs. Dynette P Hoffpauir, BCBA
Title
Board Certified Behavior Analyst
Phone
(337) 491-0800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X NU
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

314 Broad St
Suite B
Lake Charles, LA 70601-4224

Mailing address

314 Broad St
Suite B
Lake Charles, LA 70601-4224
Phone (337) 491-0800

National Provider Directory

National Provider Directory
Tax ID family
Saint Nicholas Center for Early Intervention4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

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": "1264982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323388800000",
    "number": "1033441126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 BROAD ST",
            "address_2": "SUITE B",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706014224",
            "telephone_number": "337-491-0800",
            "fax_number": "337-491-0508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 BROAD ST",
            "address_2": "SUITE B",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706014224",
            "telephone_number": "337-491-0800",
            "fax_number": "337-491-0508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT NICHOLAS CENTER FOR EARLY INTERVENTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-01",
        "last_updated": "2011-12-09",
        "status": "A",
        "authorized_official_last_name": "HOFFPAUIR",
        "authorized_official_first_name": "DYNETTE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "BOARD CERTIFIED BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "337-491-0800",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2011; 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.