Active NPI
New Beginnings Behavior Services, LLC
- Behavior Analyst
- Monroe, LA
National Provider Identifier
1295360154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- 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
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-S
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2349376 | Medicaid | LA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lboudloche@newbeginningsbehaviorservices.com | Direct |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Behavior Analyst
- Monroe, LA
- NPI 1912236084
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.