Simone Bailey
Individual provider Active NPI Behavior Technician · Youngsville, LA
NPI 1205623758 · NPPES record last updated Apr 21, 2025
Key facts
- NPI
- 1205623758
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-24-380651 (LA)
- Practice address
- 131 Ashford LN
Youngsville, LA 70592-5330 - Phone
- (337) 551-9268
- NPI assigned
- Apr 21, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-24-380651 | LA | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Flourish Pediatric ABA Center | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-24-380651 | LA | Yes |
Addresses
Primary practice location
131 Ashford LN
Youngsville, LA 70592-5330
Mailing address
131 Ashford LN
Youngsville, LA 70592-5330
Phone (337) 551-9268
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All providers in Youngsville, LA · Behavior Technician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.