Benjamin Alexander-Bloch

Individual provider Active NPI Developmental Therapist · Baton Rouge, LA

NPI 1215309372 · NPPES record last updated Oct 28, 2015

Key facts

NPI
1215309372
Entity type
Individual (NPI type 1)
Primary specialty
Developmental Therapist 222Q00000X
Practice address
8550 United Plaza Blvd.
Ste 702-N
Baton Rouge, LA 70809-0200
Phone
(888) 880-9270
NPI assigned
Oct 28, 2015
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X Yes

Addresses

Primary practice location

8550 United Plaza Blvd.
Ste 702-N
Baton Rouge, LA 70809-0200

Mailing address

500 Fairway Dr
Suite 102
Deerfield Beach, FL 33441-1814
Phone (888) 880-9270

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 28, 2015.

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445990400000",
    "number": "1215309372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 FAIRWAY DR",
            "address_2": "SUITE 102",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334411814",
            "telephone_number": "888-880-9270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8550 UNITED PLAZA BLVD.",
            "address_2": "STE 702-N",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708090200",
            "telephone_number": "888-880-9270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER-BLOCH",
        "first_name": "BENJAMIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-28",
        "last_updated": "2015-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

All providers in Baton Rouge, LA · Developmental Therapist in Louisiana

Sources for this page

Verify at the official NPI Registry.