Northpoint Pediatric Behavior Therapy

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

L-063 Issued in LA

Legal business name

NORTHPOINT PEDIATRIC BEHAVIOR THERAPY

Practice address

302 Barker Dr
Monroe, LA 71203-6544

Phone

(318) 243-6962

NPI assigned

Aug 20, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Benjamin Terrell Nicholson, LBA

Title

Licensed Behavior Analyst

Phone

(318) 243-6962

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ben Nicholson, LBA

  • Behavior Analyst
  • Monroe, LA
  • NPI 1033528435
  NPD (past)

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

{
    "created_epoch": "1408492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408492800000",
    "number": "1720487226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 BARKER DR",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712036544",
            "telephone_number": "318-243-6962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 BARKER DR",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712036544",
            "telephone_number": "318-243-6962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHPOINT PEDIATRIC BEHAVIOR THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-20",
        "last_updated": "2014-08-20",
        "status": "A",
        "authorized_official_last_name": "NICHOLSON",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "TERRELL",
        "authorized_official_title_or_position": "LICENSED BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "318-243-6962",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "LA",
            "license": "L-063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northeast Med Transport LLC
• Northeast Medical Transit, Inc.
• Northeast Renal & Dialysis, a Professional Medical Corporation
• Northeast Rural Health Center
• Northland Hearing Centers, Inc.
• Sierra G Norwood, NP
• Dena M Novak, ACNP
• Jaylen Nunnery
• Morgan M Nuss
• Laquisha Nute

• Behavior Analyst in Monroe, LA
• Providers in Monroe, LA by specialty
• Behavior Analyst in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2014; 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.