Jessica Leblanc

Individual provider Active NPI Behavior Analyst · Metairie, LA

NPI 1922497742 · NPPES record last updated Mar 17, 2018

Key facts

NPI
1922497742
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
L-266 (LA)
Practice address
4201 N I 10 Service Rd W
Metairie, LA 70006-6713
Phone
(337) 370-7618
NPI assigned
Jan 16, 2015
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
L-266LAMDBehavioral Analyst

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X L-266 LA Yes

Addresses

Primary practice location

4201 N I 10 Service Rd W
Metairie, LA 70006-6713

Mailing address

500 Fairway Dr Ste 102
Deerfield Beach, FL 33441-1817
Phone (888) 880-9270

Other practice location 1

500 Fairway Dr Ste 102
Deerfield Beach, FL 33441-1817
Phone (888) 880-9270

Other providers in Metairie, LA

All providers in Metairie, LA · Behavior Analyst in Louisiana

Sources for this page

Verify at the official NPI Registry.