Individual provider Active NPI

Abbygayle Ingles

  • Behavior Technician
  • Bossier City, LA
National Provider Identifier
1396521068
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
R-14121 Issued in LA
Practice address
4440 Viking Dr
Bossier City, LA 71111-7511
Phone
(318) 588-8908
Fax
(318) 588-8909
NPI assigned
Sep 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X R-14121 LA Primary

Addresses

Primary practice location

4440 Viking Dr
Bossier City, LA 71111-7511

Mailing address

PO Box 1823
West Monroe, LA 71294-1823
Phone (318) 588-8908

Other identifiers 1

IdentifierTypeStateIssuer
RBT-23-293134OtherBACB

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

LicenseStateTypeSpecialty
R-14121LAMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Behavior Train PastSince Sep 10, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1694044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1396521068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1823",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712941823",
            "telephone_number": "318-588-8908",
            "fax_number": "318-588-8909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 VIKING DR",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711117511",
            "telephone_number": "318-588-8908",
            "fax_number": "318-588-8909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGLES",
        "first_name": "ABBYGAYLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-07",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "LA",
            "license": "R-14121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB",
            "identifier": "RBT-23-293134",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bossier City, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.