Active NPI
Michele Lynn Gandolfo-Muller, ABA THERAPIST
- Behavior Analyst
- Covington, LA
National Provider Identifier
1376933697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 70342 6TH St
Covington, LA 70433-5486 - Phone
- (504) 214-5552
- NPI assigned
- Jan 24, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
70342 6TH St
Covington, LA 70433-5486
Mailing address
70342 6TH St
Covington, LA 70433-5486
Phone (504) 214-5552
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
- Credentials
- Associate of Business Administration
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422057600000",
"number": "1376933697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70342 6TH ST",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704335486",
"telephone_number": "504-214-5552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70342 6TH ST",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704335486",
"telephone_number": "504-214-5552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANDOLFO-MULLER",
"first_name": "MICHELE",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "ABA THERAPIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-24",
"last_updated": "2015-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"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 Jan 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.