Shantae Cavalier

Key facts

NPI

1891295572

Entity type

Individual (NPI type 1)

Primary specialty

Behavior Technician 106S00000X

License

R-2938 (LA)

Practice address

6685 Sullivan Rd
Greenwell Springs, LA 70739-3112

Phone

(225) 302-3230

NPI assigned

Feb 19, 2018

Sex

Female

Sole proprietor

No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• No Missing Pieces LLC Behavior Analyst · Baton Rouge, LA · NPI 1871207670
  NPD Authorized official BEHAVIOR TECHNICIAN

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 13, 2023.

{
    "created_epoch": "1518998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1891295572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6685 SULLIVAN RD",
            "city": "GREENWELL SPRINGS",
            "state": "LA",
            "postal_code": "707393112",
            "telephone_number": "225-302-3230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6685 SULLIVAN RD",
            "city": "GREENWELL SPRINGS",
            "state": "LA",
            "postal_code": "707393112",
            "telephone_number": "225-302-3230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVALIER",
        "first_name": "SHANTAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-19",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "LA",
            "license": "R-2938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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