Kennedy Andrus
Individual provider Active NPI Behavior Technician · Youngsville, LA
NPI 1750121406 · NPPES record last updated May 30, 2024
Key facts
- NPI
- 1750121406
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 209 Centre Sarcelle Blvd Ste 201
Youngsville, LA 70592-6755 - Phone
- (337) 967-6645
- NPI assigned
- May 30, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
209 Centre Sarcelle Blvd Ste 201
Youngsville, LA 70592-6755
Mailing address
209 Centre Sarcelle Blvd Ste 201
Youngsville, LA 70592-6755
Phone (337) 967-6645
Other providers in Youngsville, LA
- Am Neuro LLC
- Anchored Health LLC
- Kim Lashane Anderson Pleasant
- Meighan Anderson
- William Louis Anderson
- Angels of Mercy
- Casey S Arceneaux
- Anjum Asad
- Amberly G Atkins
- Anna Marie Atkinson
All providers in Youngsville, LA · Behavior Technician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.