NPIMap

Organization Active NPI

Koaba Kids, LLC

  • Behavior Analyst
  • Metairie, LA
National Provider Identifier
1508268202
Registry record updated Sep 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
L-061 Issued in LA
Legal business name
KOABA KIDS, LLC
Practice address
4924 Antonini Dr
Metairie, LA 70006-2144
Phone
(443) 535-3819
NPI assigned
Sep 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2014

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

Authorized official

Name
Jennifer Rose Pla, M.ED., BCBA, LBA
Title
Behavior Analyst
Phone
(443) 535-3819

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X L-061 LA Primary

Addresses

Primary practice location

4924 Antonini Dr
Metairie, LA 70006-2144

Mailing address

4924 Antonini Dr
Metairie, LA 70006-2144
Phone (443) 535-3819

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411516800000",
    "number": "1508268202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4924 ANTONINI DR",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062144",
            "telephone_number": "443-535-3819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4924 ANTONINI DR",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062144",
            "telephone_number": "443-535-3819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOABA KIDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-24",
        "last_updated": "2014-09-24",
        "status": "A",
        "authorized_official_last_name": "PLA",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "443-535-3819",
        "authorized_official_credential": "M.ED., BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "LA",
            "license": "L-061",
            "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 Sep 24, 2014; 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.