Amanda Laviolette
Individual provider Active NPI Developmental Therapist · Saint Amant, LA
NPI 1609259886 · NPPES record last updated Jul 7, 2015
Key facts
- NPI
- 1609259886
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmental Therapist 222Q00000X
- Practice address
- 11081 Buxton Rd
Saint Amant, LA 70774-4207 - Phone
- (225) 715-3797
- NPI assigned
- Jul 7, 2015
- 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 |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | Yes |
Addresses
Primary practice location
11081 Buxton Rd
Saint Amant, LA 70774-4207
Mailing address
11081 Buxton Rd
Saint Amant, LA 70774-4207
Other providers in Saint Amant, LA
- John Luke Fryoux
- Emma Gautreau
- Amber Shay Johnson
- Caitlyn Christine Klingman
- Lake Urgent Care Ascension LLC
- Satyanarayana Malur
- Kanisha R Miller
- Hollie Bronson Ortis
- Perfect Care Transportation, LLC
- Logan Roberts
All providers in Saint Amant, LA · Developmental Therapist in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2015. 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.