Abby Alyse Dardenne, M.A., BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

L-452 Issued in LA

Practice address

7932 Summa Ave Ste B2
Baton Rouge, LA 70809-3736

Phone

(225) 349-7171

NPI assigned

Apr 15, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Grace Therapy Center, LLC

  • Behavior Analyst
  • Baton Rouge, LA
  • NPI 1396325270
  NPD (past)

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

{
    "created_epoch": "1586908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1104445592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17040 THOMAS LN",
            "city": "GROSSE TETE",
            "state": "LA",
            "postal_code": "707403026",
            "telephone_number": "225-776-4473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7932 SUMMA AVE STE B2",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093736",
            "telephone_number": "225-349-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARDENNE",
        "first_name": "ABBY",
        "middle_name": "ALYSE",
        "credential": "M.A., BCBA, LBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-15",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "LA",
            "license": "L-452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB CERTIFICATION",
            "identifier": "1-20-41289",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOUISIANA BEHAVIOR ANALYST BOARD",
            "identifier": "L-452",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Xuong T. Dao, MD
• Sydnie Darby, RD
• Matthew Michael Darce
• Marlene Darcey
• Lauren L. Dardar, OD
• Darem Medical LLC
• Felicia Darensbourg
• Latasha M Darensbourg, PHARMD
• Laci Ciara Darensburg
• Tiernisha Darensburg, PHARMD

• Behavior Analyst in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Behavior Analyst in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; 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.