NPIMap

Individual provider Active NPI

Ciji Dupre, BCBA, LBA

  • Behavior Analyst
  • New Orleans, LA
National Provider Identifier
1437784121
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
L-432 Issued in LA
Practice address
114 Mark Twain Dr Apt 12
New Orleans, LA 70123-2426
Phone
(985) 859-1312
NPI assigned
Mar 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X L-432 LA Primary

Addresses

Primary practice location

114 Mark Twain Dr Apt 12
New Orleans, LA 70123-2426

Mailing address

114 Mark Twain Dr Apt 12
New Orleans, LA 70123-2426
Phone (985) 859-1312

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
L-432LAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Behavioral Interventions,LLC Behavior Analyst CurrentSince Mar 9, 2020 Accepting new patients

Locations

9643A Jefferson Hwy
River Ridge, LA 70123
Phone (985) 856-3532

1631 Saint Mary St
Thibodaux, LA 70301
Phone (985) 859-1312

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": "1583193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1437784121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 MARK TWAIN DR APT 12",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701232426",
            "telephone_number": "985-859-1312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 MARK TWAIN DR APT 12",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701232426",
            "telephone_number": "985-859-1312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUPRE",
        "first_name": "CIJI",
        "name_prefix": "Ms.",
        "credential": "BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-03",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "LA",
            "license": "L-432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; 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.