Deidra M Grogan

Individual provider Active NPI Behavior Technician · Jeanerette, LA

NPI 1285582403 · NPPES record last updated Mar 21, 2026

Key facts

NPI
1285582403
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
907 1/2 Crowley Dr
Jeanerette, LA 70544-5646
Phone
(337) 579-3410
NPI assigned
Mar 21, 2026
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

907 1/2 Crowley Dr
Jeanerette, LA 70544-5646

Mailing address

907 1/2 Crowley Dr
Jeanerette, LA 70544-5646
Phone (337) 579-3410

Other providers in Jeanerette, LA

All providers in Jeanerette, LA · Behavior Technician in Louisiana

Sources for this page

Verify at the official NPI Registry.