Active NPI
Kalena Bostian
- Behavior Technician
- Alexandria, LA
National Provider Identifier
1265172746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- R8741
- Practice address
- 2036 Jackson St
Alexandria, LA 71301-6439 - Phone
- (318) 641-0444
- NPI assigned
- Mar 31, 2022
- Last updated
- Mar 31, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | LA | ||
| Behavior Technician | 106S00000X | R8741 | LA | Primary |
Addresses
Primary practice location
2036 Jackson St
Alexandria, LA 71301-6439
Mailing address
2036 Jackson St
Alexandria, LA 71301-6439
Phone (318) 641-0444
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R8741 | LA | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hari Srinivasa | Current | Accepting new patients |
Locations
2036 Jackson St
Alexandria, LA 71301
Phone (318) 641-0444
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648684800000",
"number": "1265172746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2036 JACKSON ST",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713016439",
"telephone_number": "318-641-0444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2036 JACKSON ST",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713016439",
"telephone_number": "318-641-0444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOSTIAN",
"first_name": "KALENA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-31",
"last_updated": "2022-03-31",
"certification_date": "2022-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "LA",
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "LA",
"license": "R8741",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.