Mae Larocque, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-19-106916 Issued in TN

Practice address

6413 Quince Rd
Memphis, TN 38119-8219

Phone

(901) 690-5213

Fax

(901) 666-8440

NPI assigned

Nov 13, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1376145359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6413 QUINCE RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381198219",
            "telephone_number": "901-690-5213",
            "fax_number": "901-666-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6413 QUINCE RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381198219",
            "telephone_number": "901-690-5213",
            "fax_number": "901-666-8440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2881 Kirby Rd",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381198209",
            "country_code": "US",
            "telephone_number": "901-690-5213",
            "fax_number": "901-666-8440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAROCQUE",
        "first_name": "MAE",
        "name_prefix": "Ms.",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-13",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TN",
            "license": "RBT-19-106916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED BEHAVIOR TECHNICIAN",
            "identifier": "RBT-19-106916",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaelin A Large, MSW
• Zaire Larkins
• Larkspur Home Care
• Larkspur Home Care, LLC
• Larkspur Transportation, LLC
• Anna Larouche, LCSW
• Larry Burke, MD, PC
• Larry Steven Weiss DDS
• Larry W. Anthony M.D. P.C.
• Jana S Larson, CRNA

• Behavior Technician in Memphis, TN
• Providers in Memphis, TN by specialty
• Behavior Technician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.