Active NPI
Carly Marie Dragich
- Behavior Technician
- Youngsville, LA
National Provider Identifier
1801468376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 209 Centre Sarcelle Blvd
Youngsville, LA 70592-6755 - Phone
- (337) 857-3674
- NPI assigned
- Jul 14, 2021
- 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
209 Centre Sarcelle Blvd
Youngsville, LA 70592-6755
Mailing address
156 Verona Dr Apt 205
Lafayette, LA 70507-6417
Phone (239) 443-8069
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08511D77148 | Other | FL | MEDI-SHARE |
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": "1626220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668643200000",
"number": "1801468376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "156 VERONA DR APT 205",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705076417",
"telephone_number": "239-443-8069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 CENTRE SARCELLE BLVD",
"city": "YOUNGSVILLE",
"state": "LA",
"postal_code": "705926755",
"telephone_number": "337-857-3674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRAGICH",
"first_name": "CARLY",
"middle_name": "MARIE",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-14",
"last_updated": "2022-11-17",
"certification_date": "2022-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-SHARE",
"identifier": "08511D77148",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Youngsville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.