Active NPI
Kiara Lajuane Clofer
- Behavior Technician
- Prairieville, LA
National Provider Identifier
1881455996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 17534 Old Jefferson Hwy Ste D1
Prairieville, LA 70769-3978 - Phone
- (985) 500-3130
- NPI assigned
- Jan 17, 2024
- Last updated
- Mar 11, 2024
- 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 | LA | Primary |
Addresses
Primary practice location
17534 Old Jefferson Hwy Ste D1
Prairieville, LA 70769-3978
Mailing address
996 Royal Marco Way FL 34145
Marco Island, FL 34145-1829
Other practice location 1
11607 Southfork Ave Bldg B
Baton Rouge, LA 70816-5220
Phone (877) 418-2978
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": "1705449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710115200000",
"number": "1881455996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "996 ROYAL MARCO WAY FL 34145",
"city": "MARCO ISLAND",
"state": "FL",
"postal_code": "341451829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17534 OLD JEFFERSON HWY STE D1",
"city": "PRAIRIEVILLE",
"state": "LA",
"postal_code": "707693978",
"telephone_number": "985-500-3130"
}
],
"practiceLocations": [
{
"address_1": "11607 Southfork Ave Bldg B",
"address_purpose": "LOCATION",
"city": "Baton Rouge",
"state": "LA",
"postal_code": "708165220",
"country_code": "US",
"telephone_number": "877-418-2978",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLOFER",
"first_name": "KIARA",
"middle_name": "LAJUANE",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-17",
"last_updated": "2024-03-11",
"certification_date": "2024-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "LA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prairieville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.