Individual provider Active NPI

Jaden Boykin

  • Behavior Technician
  • Metairie, LA
National Provider Identifier
1447943246
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
R-13506 Issued in LA
Practice address
2901 Ridgelake Dr Ste 102
Metairie, LA 70002-4946
Phone
(504) 354-8078
Fax
(504) 354-1437
NPI assigned
May 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X R-13506 LA Primary

Addresses

Primary practice location

2901 Ridgelake Dr Ste 102
Metairie, LA 70002-4946

Mailing address

2901 Ridgelake Dr Ste 102
Metairie, LA 70002-4946
Phone (504) 354-8078

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
R-13506LAMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Chatternola CurrentSince Jun 4, 2023 Accepting new patients

Locations

2901 Ridgelake Dr
Ste 102
Metairie, LA 70002
Phone (504) 354-8078

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": "1685404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1447943246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 RIDGELAKE DR STE 102",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700024946",
            "telephone_number": "504-354-8078",
            "fax_number": "504-354-1437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 RIDGELAKE DR STE 102",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700024946",
            "telephone_number": "504-354-8078",
            "fax_number": "504-354-1437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYKIN",
        "first_name": "JADEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-30",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "LA",
            "license": "R-13506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.

Verify at the official NPI Registry.