Maggie Marie Kurtzuba, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-17-27869

Practice address

4019 Common St
Lake Charles, LA 70607-2942

Phone

(337) 377-6206

NPI assigned

Oct 5, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pantheon ABA, LLC

  • Behavior Analyst
  • Lake Charles, LA
  • NPI 1770219891
  NPD Authorized official

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

{
    "created_epoch": "1507161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507161600000",
    "number": "1669982518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 LINKSWILLER RD",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706077573",
            "telephone_number": "318-554-8348",
            "fax_number": "866-399-7694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4019 COMMON ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706072942",
            "telephone_number": "337-377-6206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURTZUBA",
        "first_name": "MAGGIE",
        "middle_name": "MARIE",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-05",
        "last_updated": "2017-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-17-27869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles E. Kuehn II
• John Wayne Kuehn, RNFA
• Kulaga Chiropractic, LLC
• Joseph P. Kulaga, D.C.
• Gene Kuntz II, L.M.T.
• L & D Community Care, Inc
• L & D Community Care, Inc
• L & D Community Care, Inc.
• L & D Community Care, Inc.
• La. State Optical of Lake Charles, la. Inc.

• Behavior Analyst in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Behavior Analyst in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2017; 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.