Individual provider Active NPI

Nyla Blair Wells

  • Behavior Analyst
  • Baton Rouge, LA
National Provider Identifier
1275132953
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
011470342 Issued in LA
Practice address
17542 Five Oaks Dr
Baton Rouge, LA 70810-6553
Phone
(225) 290-2670
NPI assigned
Oct 22, 2020
Last updated
Oct 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 011470342 LA Primary

Addresses

Primary practice location

17542 Five Oaks Dr
Baton Rouge, LA 70810-6553

Mailing address

17542 Five Oaks Dr
Baton Rouge, LA 70810-6553
Phone (225) 290-2670

Other practice location 1

17542 Five Oaks Dr
Baton Rouge, LA 70810-6553
Phone (225) 290-2670

Other practice location 2

17542 Five Oaks Dr
Baton Rouge, LA 70810-6553
Phone (225) 290-2670

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

LicenseStateTypeSpecialty
011470342LAMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1275132953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17542 FIVE OAKS DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708106553",
            "telephone_number": "225-290-2670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17542 FIVE OAKS DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708106553",
            "telephone_number": "225-290-2670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17542 Five Oaks Dr",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708106553",
            "country_code": "US",
            "telephone_number": "225-290-2670",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17542 Five Oaks Dr",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708106553",
            "country_code": "US",
            "telephone_number": "225-290-2670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELLS",
        "first_name": "NYLA",
        "middle_name": "BLAIR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-22",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "LA",
            "license": "011470342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; 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.