Lydia Alexander

Individual provider Active NPI Behavior Technician · Metairie, LA

NPI 1285340554 · NPPES record last updated Mar 6, 2023

Key facts

NPI
1285340554
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
4201 N I 10 Service Rd W
Metairie, LA 70006-6713
Phone
(877) 418-2978
Fax
(866) 500-2186
NPI assigned
Jan 30, 2023
Sex
Female
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

State licenses

LicenseStateTypeSpecialty
R-12424LAMDBehavior Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X R-12424 LA
Behavior Technician 106S00000X
Behavior Technician 106S00000X LA Yes

Addresses

Primary practice location

4201 N I 10 Service Rd W
Metairie, LA 70006-6713

Mailing address

4201 N I 10 Service Rd W
Metairie, LA 70006-6713
Phone (877) 418-2978

Other practice location 1

3732 Saratoga Dr
Metairie, LA 70002-7032
Phone (504) 453-6896

Other providers in Metairie, LA

All providers in Metairie, LA · Behavior Technician in Louisiana

Sources for this page

Verify at the official NPI Registry.