Jennifer Cook, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

2516 Riley St
Sulphur, LA 70665-7550

Phone

(337) 287-0407

NPI assigned

Mar 17, 2020

Sex

Female

Sole proprietor

No

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.

• Samson Behavioral Services

  • Clinic/Center
  • Lake Charles, LA
  • NPI 1518722271
  NPD Authorized official
• Blue Light Behavioral LLC

  • Behavior Analyst
  • Lake Charles, LA
  • NPI 1427709633
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 17, 2020.

{
    "created_epoch": "1584403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584403200000",
    "number": "1902432453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2712 RUE CANNES DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706054044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2516 RILEY ST",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706657550",
            "telephone_number": "337-287-0407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "JENNIFER",
        "credential": "BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-17",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Sulphur",
            "affiliation": "N",
            "address_1": "2516 Riley St",
            "city": "Sulphur",
            "state": "LA",
            "country_code": "US",
            "postal_code": "706657550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Geoffrey James Collins, M.D.
• Larry Dale Collins Jr., PHARMD
• Glenn Paul Comeaux
• Community Birth Group
• Conscious Impact Enterprises LLC
• Crystal Lynn Cormier, LMT
• Cornerstone Hospital of Southwest
• Caroline Champagne Courville, M.D.
• Sarah Hassien Daigle
• Scott R Darbonne, PHARMACIST

• All providers in Sulphur, LA
• Behavior Analyst in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2020; 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.