Bridgette Jarred

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

39329 Oaklyn Dr
Ponchatoula, LA 70454-7095

Phone

(985) 605-0406

NPI assigned

Feb 14, 2025

Last updated

Feb 14, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Bridgette Wall Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1739491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1598560526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39329 OAKLYN DR",
            "city": "PONCHATOULA",
            "state": "LA",
            "postal_code": "704547095",
            "telephone_number": "985-605-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39329 OAKLYN DR",
            "city": "PONCHATOULA",
            "state": "LA",
            "postal_code": "704547095",
            "telephone_number": "985-605-0406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARRED",
        "first_name": "BRIDGETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-14",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIDGETTE",
            "last_name": "WALL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christy Beth Hutchinson, PMHNP-BC
• Integrated Dermatology of Ponchatoula, LLC
• J. Allen Investment LLC (Alpha Garden Agency)
• J. Allen Investments LLC.
• Lakelia Jackson
• Alvin Julian Jaufre III, D.C.
• Dajanae Johnson
• Lindsey Strecker Johnson, FNP-C
• Brooklyn T Jones, DPT
• Journey Counseling and Community Services, LLC

• Behavior Technician in Ponchatoula, LA
• Providers in Ponchatoula, LA by specialty
• Behavior Technician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; 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.