Active NPI
Fredericka Lewis
- Behavior Analyst
- River Ridge, LA
National Provider Identifier
1417846759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- L994
- Practice address
- 9643A Jefferson Hwy
River Ridge, LA 70123-2509 - Phone
- (985) 856-3532
- NPI assigned
- Jul 1, 2025
- 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 | L994 | LA | Primary |
Addresses
Primary practice location
9643A Jefferson Hwy
River Ridge, LA 70123-2509
Mailing address
PO Box 1137
Thibodaux, LA 70302-1137
Phone (985) 447-7905
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 |
|---|---|---|---|
| L994 | LA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grace Behavioral Interventions,LLC | Behavior Analyst | Past | 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.
-
- Behavior Analyst
- New Orleans, LA
- NPI 1407481815
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752105600000",
"number": "1417846759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1137",
"city": "THIBODAUX",
"state": "LA",
"postal_code": "703021137",
"telephone_number": "985-447-7905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9643A JEFFERSON HWY",
"city": "RIVER RIDGE",
"state": "LA",
"postal_code": "701232509",
"telephone_number": "985-856-3532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "FREDERICKA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-01",
"last_updated": "2025-07-10",
"certification_date": "2025-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "LA",
"license": "L994",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in River Ridge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.