Lani Chisholm

Individual provider Active NPI Behavior Technician · Leesville, LA

NPI 1740102433 · NPPES record last updated Jul 27, 2026

Key facts

NPI
1740102433
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
R-28157 (LA)
Practice address
112 N 3Rd St
Leesville, LA 71446-4014
Phone
(337) 239-3334
Fax
(337) 239-3336
NPI assigned
Jul 27, 2026
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Wardell Interests, Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X R-28157 LA Yes

Addresses

Primary practice location

112 N 3Rd St
Leesville, LA 71446-4014

Mailing address

112 N 3Rd St
Leesville, LA 71446-4014
Phone (337) 239-3334

Other providers in Leesville, LA

All providers in Leesville, LA · Behavior Technician in Louisiana

Sources for this page

Verify at the official NPI Registry.