Active NPI
Brooke Alexandra Watkins, MA, LBA, BCBA
- Behavior Analyst
- Lake Charles, LA
National Provider Identifier
1407582331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- L-652
- Practice address
- 3026 Ryan St
Lake Charles, LA 70601-8513 - Phone
- (337) 240-8363
- NPI assigned
- Jul 25, 2022
- 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 | L-652 | LA | Primary |
Addresses
Primary practice location
3026 Ryan St
Lake Charles, LA 70601-8513
Mailing address
6067 Ava LN
Iowa, LA 70647-6534
Phone (337) 274-4557
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L-652 | LA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658707200000",
"number": "1407582331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6067 AVA LN",
"city": "IOWA",
"state": "LA",
"postal_code": "706476534",
"telephone_number": "337-274-4557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3026 RYAN ST",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706018513",
"telephone_number": "337-240-8363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATKINS",
"first_name": "BROOKE",
"middle_name": "ALEXANDRA",
"name_prefix": "Miss",
"credential": "MA, LBA, BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-25",
"last_updated": "2022-07-25",
"certification_date": "2022-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "LA",
"license": "L-652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.