Jerrick Comeaux, M.A., BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-22-59436 Issued in LA

Practice address

170 Industrial Pkwy
Lafayette, LA 70508-8309

Phone

(337) 456-5705

NPI assigned

Jun 21, 2022

Last updated

Jun 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

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

• Leon C. Winters LCSW, LLC

  dba Winters Mental Health and Consulting

  • Clinical Social Worker
  • Lafayette, LA
  • NPI 1194247734
  NPD (past)

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

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1437880416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 INDUSTRIAL PKWY",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705088309",
            "telephone_number": "337-456-5705",
            "fax_number": "337-456-6249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 INDUSTRIAL PKWY",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705088309",
            "telephone_number": "337-456-5705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMEAUX",
        "first_name": "JERRICK",
        "credential": "M.A., BCBA, LBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-21",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "LA",
            "license": "1-22-59436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith A Colomb, MD
• Colonel Joseph George & Saida Saloom Hannie Community Home, Inc.
• Candace Jeanine Comeaux
• Donna F Comeaux, CRNA
• Jason R Comeaux, PA-C
• Marie Comeaux
• Mark Randal Comeaux, DDS
• Megan King Comeaux, O.T.
• Michelle Marie Comeaux
• Nicole Comeaux, MS CCC-SLP

• Behavior Analyst in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Behavior Analyst in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.

Verify at the official NPI Registry.