Active NPI
Aynslee Camille Wilmot
- Behavior Technician
- Shreveport, LA
National Provider Identifier
1700329950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 2924 Knight St
Suite 434
Shreveport, LA 71105-2415 - Phone
- (318) 631-1122
- NPI assigned
- Nov 21, 2016
- 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 | Primary |
Addresses
Primary practice location
2924 Knight St
Suite 434
Shreveport, LA 71105-2415
Mailing address
611 E Washington St
Apt 703
Shreveport, LA 71104-3700
Phone (318) 840-4530
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479686400000",
"number": "1700329950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 E WASHINGTON ST",
"address_2": "APT 703",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711043700",
"telephone_number": "318-840-4530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2924 KNIGHT ST",
"address_2": "SUITE 434",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711052415",
"telephone_number": "318-631-1122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILMOT",
"first_name": "AYNSLEE",
"middle_name": "CAMILLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-21",
"last_updated": "2016-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.