Active NPI
Bernadette Derosier
- Behavior Technician
- Mandeville, LA
National Provider Identifier
1609312396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 010605487
- Practice address
- 1325 W Causeway Approach
Mandeville, LA 70471-3043 - Phone
- (985) 272-1824
- NPI assigned
- Jan 18, 2017
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 010605487 | LA | Primary |
Addresses
Primary practice location
1325 W Causeway Approach
Mandeville, LA 70471-3043
Mailing address
21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807
Phone (818) 345-2345
Other practice location 1
4201 N I 10 Service Rd W
Metairie, LA 70006-6713
Phone (504) 251-6013
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010605487 | LA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544140800000",
"number": "1609312396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21600 OXNARD ST STE 1800",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913677807",
"telephone_number": "818-345-2345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 W CAUSEWAY APPROACH",
"city": "MANDEVILLE",
"state": "LA",
"postal_code": "704713043",
"telephone_number": "985-272-1824"
}
],
"practiceLocations": [
{
"address_1": "4201 N I 10 Service Rd W",
"address_purpose": "LOCATION",
"city": "Metairie",
"state": "LA",
"postal_code": "700066713",
"country_code": "US",
"telephone_number": "504-251-6013",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEROSIER",
"first_name": "BERNADETTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-18",
"last_updated": "2018-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "LA",
"license": "010605487",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mandeville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.