Active NPI
Bailey Waits
- Behavior Technician
- Shreveport, LA
National Provider Identifier
1386477792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-24-329597
- Practice address
- 2522 E 70TH St
Shreveport, LA 71105-4002 - Phone
- (318) 795-3388
- NPI assigned
- Aug 21, 2024
- 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 Technician | 106S00000X | RBT-24-329597 | LA | Primary |
Addresses
Primary practice location
2522 E 70TH St
Shreveport, LA 71105-4002
Mailing address
3820 Fairfield Ave Unit 118
Shreveport, LA 71104-4745
Phone (903) 987-9382
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Bailey.waits@littleworksinprogress.com | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-24-329597 | LA | MD | Behavior Technician |
Interoperability endpoints
- bailey.waits@littleworksinprogress.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724198400000",
"number": "1386477792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3820 FAIRFIELD AVE UNIT 118",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711044745",
"telephone_number": "903-987-9382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2522 E 70TH ST",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711054002",
"telephone_number": "318-795-3388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAITS",
"first_name": "BAILEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-21",
"last_updated": "2024-08-21",
"certification_date": "2024-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "LA",
"license": "RBT-24-329597",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Bailey.waits@littleworksinprogress.com",
"affiliation": "N",
"endpointDescription": "Shreveport",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2522 E 70th St",
"city": "Shreveport",
"state": "LA",
"country_code": "US",
"postal_code": "711054002",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.