Individual provider Active NPI

Mary Johnson Rohde, BCBA

  • Behavior Analyst
  • Baton Rouge, LA
National Provider Identifier
1104244748
Registry record updated Sep 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-14-15444 Issued in LA
Practice address
8550 United Plaza Blvd
Suite 702 N
Baton Rouge, LA 70809-2256
Phone
(888) 880-9270
Fax
(954) 342-0273
NPI assigned
Apr 1, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-14-15444 LA Primary

Addresses

Primary practice location

8550 United Plaza Blvd
Suite 702 N
Baton Rouge, LA 70809-2256

Mailing address

41 Bellgrove Dr
Destrehan, LA 70047-2523
Phone (504) 231-3235

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

NPI Registry JSON

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

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505347200000",
    "number": "1104244748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 BELLGROVE DR",
            "city": "DESTREHAN",
            "state": "LA",
            "postal_code": "700472523",
            "telephone_number": "504-231-3235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8550 UNITED PLAZA BLVD",
            "address_2": "SUITE 702 N",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708092256",
            "telephone_number": "888-880-9270",
            "fax_number": "954-342-0273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROHDE",
        "first_name": "MARY",
        "middle_name": "JOHNSON",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-01",
        "last_updated": "2017-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "LA",
            "license": "1-14-15444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2017; 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.