Active NPI
Angelain Joseph Dupart IV
- Behavior Technician
- Zachary, LA
National Provider Identifier
1417735242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 012689446
- Practice address
- 1215 Independence Blvd BLDG 6
Zachary, LA 70791-7390 - Phone
- (225) 286-1547
- NPI assigned
- Sep 21, 2023
- Last updated
- Sep 21, 2023
- Sex
- Male
- 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 | 012689446 | LA | Primary |
Addresses
Primary practice location
1215 Independence Blvd BLDG 6
Zachary, LA 70791-7390
Mailing address
1215 Independence Blvd BLDG 6
Zachary, LA 70791-7390
Phone (225) 286-1547
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 |
|---|---|---|---|
| 012689446 | LA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695254400000",
"number": "1417735242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1215 INDEPENDENCE BLVD BLDG 6",
"city": "ZACHARY",
"state": "LA",
"postal_code": "707917390",
"telephone_number": "225-286-1547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 INDEPENDENCE BLVD BLDG 6",
"city": "ZACHARY",
"state": "LA",
"postal_code": "707917390",
"telephone_number": "225-286-1547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUPART",
"first_name": "ANGELAIN",
"middle_name": "JOSEPH",
"name_suffix": "IV",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-09-21",
"last_updated": "2023-09-21",
"certification_date": "2023-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "LA",
"license": "012689446",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Zachary, LA
- Drys Pharmacy LLC (Drys Pharmacy)
- Julie Michelle Dubea, LOTR, CHT
- Aleesha D Dunn
- Ayshia Dunn
- Bridgette Dunn
- Sy Quoc Dupre, PAC
- Brittany Durand, MA, CCC-SLP
- Sydney Lahasky Duvall, DDS
- E Edward Hood Jr DDS - Zachary PLLC (Hood Dental Care Zachary)
- E Edward Hood Jr DDS Zachary-Ridgeway LLC (Hood Dental Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.