Active NPI
Katie Lynn Boudloche, M.ED., BCBA, LBA
- Behavior Analyst
- New Orleans, LA
National Provider Identifier
1124556816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- L-205
- Practice address
- 733 Dante St
New Orleans, LA 70118-1013 - Phone
- (504) 517-1711
- NPI assigned
- May 25, 2017
- 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-205 | LA | Primary |
Addresses
Primary practice location
733 Dante St
New Orleans, LA 70118-1013
Mailing address
21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807
Phone (818) 345-2345
Other practice location 1
1018 Verret St
Houma, LA 70360-4640
Phone (985) 873-6092
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 Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L-205 | LA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aurora Behavior Analysis, LLC | Behavior Analyst | Current | Accepting new patients |
| The Touchstone Center, LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Behavior Analyst
- Monroe, LA
- NPI 1730842469
-
- Behavior Analyst
- Houma, LA
- NPI 1265823678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1124556816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21600 OXNARD ST STE 1800",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913677807",
"telephone_number": "818-345-2345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "733 DANTE ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701181013",
"telephone_number": "504-517-1711"
}
],
"practiceLocations": [
{
"address_1": "1018 Verret St",
"address_purpose": "LOCATION",
"city": "Houma",
"state": "LA",
"postal_code": "703604640",
"country_code": "US",
"telephone_number": "985-873-6092",
"fax_number": "985-492-1943",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOUDLOCHE",
"first_name": "KATIE",
"middle_name": "LYNN",
"credential": "M.ED., BCBA, LBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-25",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "LA",
"license": "L-205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Orleans, 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.