Active NPI
Bailey Mipro, BCBA
- Behavior Analyst
- Ponchatoula, LA
National Provider Identifier
1336020676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-25-83797
- Practice address
- 31 Industrial Park Blvd
Ponchatoula, LA 70454-8303 - Phone
- (985) 370-2300
- NPI assigned
- Sep 11, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-25-83797 | LA | Primary |
Addresses
Primary practice location
31 Industrial Park Blvd
Ponchatoula, LA 70454-8303
Mailing address
102 Lakewood Estates Dr
New Orleans, LA 70131-8300
Phone (504) 615-5196
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1336020676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 LAKEWOOD ESTATES DR",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701318300",
"telephone_number": "504-615-5196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 INDUSTRIAL PARK BLVD",
"city": "PONCHATOULA",
"state": "LA",
"postal_code": "704548303",
"telephone_number": "985-370-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIPRO",
"first_name": "BAILEY",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-11",
"last_updated": "2025-09-11",
"certification_date": "2025-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "LA",
"license": "1-25-83797",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ponchatoula, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.