Active NPI
Deep Roots Behavior Support LLC
- Behavior Analyst
- Metairie, LA
National Provider Identifier
1124891718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- DEEP ROOTS BEHAVIOR SUPPORT LLC
- Practice address
- 718 Phosphor Ave
Metairie, LA 70005-2727 - Phone
- (504) 229-2499
- NPI assigned
- Nov 6, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Emily Wilkinson Grest, BCBA
- Title
- Owner, Bcba
- Phone
- (504) 229-2499
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
718 Phosphor Ave
Metairie, LA 70005-2727
Mailing address
718 Phosphor Ave
Metairie, LA 70005-2727
Phone (504) 229-2499
National Provider Directory
National Provider DirectoryLocations
718 Phosphor Ave
Metairie, LA 70005
Phone (504) 229-2499
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Behavior Analyst
- Metairie, LA
- NPI 1427562578
-
- Behavior Analyst
- Metairie, LA
- NPI 1720687189
-
- Behavior Analyst
- Metairie, LA
- NPI 1649035940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1743379200000",
"number": "1124891718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "718 PHOSPHOR AVE",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700052727",
"telephone_number": "504-229-2499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "718 PHOSPHOR AVE",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700052727",
"telephone_number": "504-229-2499"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEEP ROOTS BEHAVIOR SUPPORT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-06",
"last_updated": "2025-03-31",
"certification_date": "2025-03-31",
"status": "A",
"authorized_official_last_name": "GREST",
"authorized_official_first_name": "EMILY",
"authorized_official_middle_name": "WILKINSON",
"authorized_official_title_or_position": "OWNER, BCBA",
"authorized_official_telephone_number": "504-229-2499",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "BCBA"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Metairie, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.