Organization Active NPI

Nola Behavioral Consultants, LLC

  • Behavior Analyst
  • Covington, LA
National Provider Identifier
1306342993
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
113 Issued in LA
Legal business name
NOLA BEHAVIORAL CONSULTANTS, LLC
Practice address
70216 8TH St
Covington, LA 70433-5366
Phone
(985) 492-3315
NPI assigned
Apr 3, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Dr. Ken Macurik, BCBA-D
Title
Bcba-D
Phone
(985) 492-3315

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X 113 LA Primary
Behavior TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 106S00000X LA

Addresses

Primary practice location

70216 8TH St
Covington, LA 70433-5366

Mailing address

70216 8TH St
Covington, LA 70433-5366
Phone (985) 492-3315

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1306342993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70216 8TH ST",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704335366",
            "telephone_number": "985-492-3315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70216 8TH ST",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704335366",
            "telephone_number": "985-492-3315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOLA BEHAVIORAL CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-03",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "MACURIK",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "BCBA-D",
        "authorized_official_telephone_number": "985-492-3315",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BCBA-D"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "LA",
            "license": "113",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": "LA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.