Kelly Brady
Individual provider Active NPI Behavior Technician · Hammond, LA
NPI 1568239481 · NPPES record last updated Dec 11, 2023
Key facts
- NPI
- 1568239481
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 42124 Veterans Ave
Hammond, LA 70403-1427 - Phone
- (985) 500-3240
- NPI assigned
- Dec 11, 2023
- 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 | Yes |
Addresses
Primary practice location
42124 Veterans Ave
Hammond, LA 70403-1427
Mailing address
42124 Veterans Ave
Hammond, LA 70403-1427
Other providers in Hammond, LA
- Mellissa Boyle
- Madison Tucker Bracey
- Amanda Bracy
- Elizabeth Bracy
- Kironisha Bradstreet
- Andrew Bragagnini
- Lisa Brand
- Christina Shea Bratcher
- Ashley Pinion Bratton
- Tracy Miller Brazan
All providers in Hammond, 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 Dec 11, 2023. 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.