Active NPI
Omika Bickham
- Behavior Analyst
- Bogalusa, LA
National Provider Identifier
1881106342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 713 W 6TH St
Bogalusa, LA 70427-7042 - Phone
- (985) 205-0490
- Fax
- (985) 205-0490
- NPI assigned
- Oct 24, 2017
- 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 Analyst | 103K00000X | Primary |
Addresses
Primary practice location
713 W 6TH St
Bogalusa, LA 70427-7042
Mailing address
512 E 6TH St
Bogalusa, LA 70427-4706
Phone (985) 205-0490
Other practice location 1
512 E 6th St
Bogalusa, LA 70427-4706
Phone (985) 205-0490
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": "1508803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1881106342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "512 E 6TH ST",
"city": "BOGALUSA",
"state": "LA",
"postal_code": "704274706",
"telephone_number": "985-205-0490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "713 W 6TH ST",
"city": "BOGALUSA",
"state": "LA",
"postal_code": "704277042",
"telephone_number": "985-205-0490",
"fax_number": "985-205-0490"
}
],
"practiceLocations": [
{
"address_1": "512 E 6th St",
"address_purpose": "LOCATION",
"city": "Bogalusa",
"state": "LA",
"postal_code": "704274706",
"country_code": "US",
"telephone_number": "985-205-0490",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BICKHAM",
"first_name": "OMIKA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-24",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bogalusa, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.