Active NPI
Courtney Rudzik
- Assistant Behavior Analyst
- Metairie, LA
National Provider Identifier
1548974512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- Practice address
- 4201 N I 10 Service Rd W
Metairie, LA 70006-6713 - Phone
- (877) 418-2978
- Fax
- (866) 500-2186
- NPI assigned
- Jan 13, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | LA | Primary |
Addresses
Primary practice location
4201 N I 10 Service Rd W
Metairie, LA 70006-6713
Mailing address
8791 Evening Shadow Dr
Denham Springs, LA 70726-6112
Phone (225) 788-5187
Other practice location 1
350 Fairway Dr
Deerfield Beach, FL 33441-1834
Phone (877) 418-2978
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673568000000",
"number": "1548974512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8791 EVENING SHADOW DR",
"city": "DENHAM SPRINGS",
"state": "LA",
"postal_code": "707266112",
"telephone_number": "225-788-5187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 N I 10 SERVICE RD W",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700066713",
"telephone_number": "877-418-2978",
"fax_number": "866-500-2186"
}
],
"practiceLocations": [
{
"address_1": "350 Fairway Dr",
"address_purpose": "LOCATION",
"city": "Deerfield Beach",
"state": "FL",
"postal_code": "334411834",
"country_code": "US",
"telephone_number": "877-418-2978",
"fax_number": "866-500-2186",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUDZIK",
"first_name": "COURTNEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-13",
"last_updated": "2023-01-13",
"certification_date": "2023-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "LA",
"license": null,
"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 Jan 13, 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.