Alexis Leeann Baccadutre
Individual provider Active NPI Behavior Technician · Baton Rouge, LA
NPI 1447074547 · NPPES record last updated Nov 14, 2024
Key facts
- NPI
- 1447074547
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 11607 Southfork Ave BLDG B
Baton Rouge, LA 70816-5220 - Phone
- (888) 880-9270
- NPI assigned
- Nov 14, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | LA | Yes |
Addresses
Primary practice location
11607 Southfork Ave BLDG B
Baton Rouge, LA 70816-5220
Mailing address
350 Fairway Dr Ste 101
Deerfield Beach, FL 33441-1834
Phone (877) 418-2978
Other providers in Baton Rouge, LA
- Scott Matthew Babin
- Stephanie Gremillion Babin
- Westley Paul Babin
- Jessica Babineaux
- Tiffany Amber Baca
- Canisha Bacchus
- Back in Motion Baton Rouge LLC
- William Lawrence Bacon II
- Aimee L Badeaux
- Brian A Badeaux
All providers in Baton Rouge, LA · Behavior Technician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.