Organization Active NPI

New Beginnings Behavior Services, LLC

  • Behavior Analyst
  • Monroe, LA
National Provider Identifier
1295360154
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
NEW BEGINNINGS BEHAVIOR SERVICES, LLC
Practice address
104 Copper Run Dr
Monroe, LA 71203-4017
Phone
(318) 376-4425
NPI assigned
Mar 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2020

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

Authorized official

Name
Dr. Lloyd Joseph Boudloche Jr., BCBA, LPC-SNPI 1912236084
Title
Owner
Phone
(318) 376-4425

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

104 Copper Run Dr
Monroe, LA 71203-4017

Mailing address

PO Box 569
Swartz, LA 71281-0569
Phone (318) 376-4425

Other identifiers 1

IdentifierTypeStateIssuer
2349376MedicaidLA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lboudloche@newbeginningsbehaviorservices.com Direct

National Provider Directory

National Provider Directory

Locations

2048 E Madison Ave
Bastrop, LA 71220
Phone (318) 379-3214

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1583798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583798400000",
    "number": "1295360154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 569",
            "city": "SWARTZ",
            "state": "LA",
            "postal_code": "712810569",
            "telephone_number": "318-376-4425",
            "fax_number": "318-515-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 COPPER RUN DR",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712034017",
            "telephone_number": "318-376-4425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BEGINNINGS BEHAVIOR SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-10",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A",
        "authorized_official_last_name": "BOUDLOCHE",
        "authorized_official_first_name": "LLOYD",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-376-4425",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "BCBA, LPC-S"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2349376",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lboudloche@newbeginningsbehaviorservices.com",
            "affiliation": "N",
            "endpointDescription": "hippa email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "104 Copper Run Dr",
            "city": "Monroe",
            "state": "LA",
            "country_code": "US",
            "postal_code": "712034017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.