NPIMap

Organization Active NPI

Louisiana Advanced Behavioral Services, LLC

  • Behavior Analyst
  • Monroe, LA
National Provider Identifier
1134507205
Registry record updated May 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
LOUISIANA ADVANCED BEHAVIORAL SERVICES, LLC
Practice address
805 Stubbs Ave Ste C
Monroe, LA 71201-5579
Phone
(318) 600-6640
NPI assigned
May 11, 2015
Last updated
May 11, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2015

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

Authorized official

Name
Mr. Lloyd Joseph Boudloche Jr.NPI 1912236084
Title
Co-Owner
Phone
(318) 376-4425

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

805 Stubbs Ave Ste C
Monroe, LA 71201-5579

Mailing address

PO Box 13102
Ruston, LA 71273-3102

National Provider Directory

National Provider Directory

Locations

805 Stubbs Ave
Ste C
Monroe, LA 71201
Phone (318) 410-8000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431302400000",
    "number": "1134507205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13102",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712733102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 STUBBS AVE STE C",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015579",
            "telephone_number": "318-600-6640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA ADVANCED BEHAVIORAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-11",
        "last_updated": "2015-05-11",
        "status": "A",
        "authorized_official_last_name": "BOUDLOCHE",
        "authorized_official_first_name": "LLOYD",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "318-376-4425",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2015; 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.