Active NPI
Kyliee B Jacquet, M.A., BCBA, LBA
- Behavior Analyst
- Denham Springs, LA
National Provider Identifier
1093407751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- L-732
- Practice address
- 1113 Range Ave Ste 110-162
Denham Springs, LA 70726-4820 - Phone
- (337) 739-2201
- NPI assigned
- May 22, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | L-732 | LA | Primary |
Addresses
Primary practice location
1113 Range Ave Ste 110-162
Denham Springs, LA 70726-4820
Mailing address
1113 Range Ave Ste 110-162
Denham Springs, LA 70726-4820
Phone (337) 739-2201
Other practice location 1
11606 Southfork Ave Ste 100
Baton Rouge, LA 70816-5235
Phone (337) 739-2201
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L-732 | LA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684713600000",
"number": "1093407751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1113 RANGE AVE STE 110-162",
"city": "DENHAM SPRINGS",
"state": "LA",
"postal_code": "707264820",
"telephone_number": "337-739-2201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1113 RANGE AVE STE 110-162",
"city": "DENHAM SPRINGS",
"state": "LA",
"postal_code": "707264820",
"telephone_number": "337-739-2201"
}
],
"practiceLocations": [
{
"address_1": "11606 Southfork Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Baton Rouge",
"state": "LA",
"postal_code": "708165235",
"country_code": "US",
"telephone_number": "337-739-2201",
"fax_number": "225-380-2182",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JACQUET",
"first_name": "KYLIEE",
"middle_name": "B",
"credential": "M.A., BCBA, LBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-22",
"last_updated": "2023-05-22",
"certification_date": "2023-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "LA",
"license": "L-732",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denham Springs, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.