Organization Active NPI

Behavioral Group of Louisiana, LLC

  • Behavior Analyst
  • Greenwell Springs, LA
National Provider Identifier
1811628241
Registry record updated Jun 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
BEHAVIORAL GROUP OF LOUISIANA, LLC
Practice address
15895 Frenchtown Rd
Greenwell Springs, LA 70739-3630
Phone
(901) 605-0168
NPI assigned
Jun 17, 2022
Last updated
Jun 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2022

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

Authorized official

Name
Mrs. Larkin Newsom, BCBA, LBA
Title
Owner / Clinical Director
Phone
(901) 605-0168

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

15895 Frenchtown Rd
Greenwell Springs, LA 70739-3630

Mailing address

15895 Frenchtown Rd
Greenwell Springs, LA 70739-3630
Phone (901) 605-0168

Other identifiers 1

IdentifierTypeStateIssuer
1285135624OtherLAPERSONAL NPI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1655424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655424000000",
    "number": "1811628241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15895 FRENCHTOWN RD",
            "city": "GREENWELL SPRINGS",
            "state": "LA",
            "postal_code": "707393630",
            "telephone_number": "901-605-0168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15895 FRENCHTOWN RD",
            "city": "GREENWELL SPRINGS",
            "state": "LA",
            "postal_code": "707393630",
            "telephone_number": "901-605-0168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL GROUP OF LOUISIANA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-17",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A",
        "authorized_official_last_name": "NEWSOM",
        "authorized_official_first_name": "LARKIN",
        "authorized_official_title_or_position": "OWNER / CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "901-605-0168",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1285135624",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwell Springs, LA

Sources for this page

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

Verify at the official NPI Registry.