Organization Active NPI

Sprouts Behavior Development Center

  • Community/Behavioral Health Agency
  • Lake Charles, LA
National Provider Identifier
1891149787
Registry record updated Jul 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SPROUTS BEHAVIOR DEVELOPMENT CENTER
Practice address
4819 Ihles Rd
Lake Charles, LA 70605
Phone
(337) 377-7772
NPI assigned
Apr 18, 2016
Last updated
Jul 25, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2018

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

Authorized official

Name
Sydna Stone Oakley
Title
Owner/Bcba
Phone
(337) 377-7772

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X
Community/Behavioral Health Agency 251S00000X Primary
Early Intervention Provider Agency 252Y00000X

Addresses

Primary practice location

4819 Ihles Rd
Lake Charles, LA 70605

Mailing address

4819 Ihles Rd
Lake Charles, LA 70605-5900
Phone (337) 602-6247

Other identifiers 1

IdentifierTypeStateIssuer
2351567MedicaidLA

National Provider Directory

National Provider Directory

Locations

4819 Ihles Rd
Lake Charles, LA 70605
Phone (337) 377-7772

Practitioners & affiliated clinicians

Practitioners 4

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": "1460937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532476800000",
    "number": "1891149787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4819 IHLES RD",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706055900",
            "telephone_number": "337-602-6247",
            "fax_number": "337-602-6062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4819 IHLES RD",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "70605",
            "telephone_number": "337-377-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPROUTS BEHAVIOR DEVELOPMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-18",
        "last_updated": "2018-07-25",
        "status": "A",
        "authorized_official_last_name": "OAKLEY",
        "authorized_official_first_name": "SYDNA",
        "authorized_official_middle_name": "STONE",
        "authorized_official_title_or_position": "OWNER/BCBA",
        "authorized_official_telephone_number": "337-377-7772"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2351567",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.

Verify at the official NPI Registry.