Emily Michelle Authement

Individual provider Active NPI Behavior Technician · Prairieville, LA

NPI 1780445114 · NPPES record last updated Jan 22, 2024

Key facts

NPI
1780445114
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
17505 Old Jefferson Hwy
Prairieville, LA 70769-3930
Phone
(985) 500-3130
NPI assigned
Jan 22, 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)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

17505 Old Jefferson Hwy
Prairieville, LA 70769-3930

Mailing address

17505 Old Jefferson Hwy
Prairieville, LA 70769-3930
Phone (985) 500-3130

Other providers in Prairieville, LA

All providers in Prairieville, LA · Behavior Technician in Louisiana

Sources for this page

Verify at the official NPI Registry.