Kayla Kennerson

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

010590457 Issued in LA

Practice address

1003 Hugh Wallis Rd S Ste B2
Lafayette, LA 70508-2528

Phone

(337) 205-4444

NPI assigned

Oct 1, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1538352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555372800000",
    "number": "1932684479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 HUGH WALLIS RD S STE B2",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705082528",
            "telephone_number": "337-205-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 HUGH WALLIS RD S STE B2",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705082528",
            "telephone_number": "337-205-4444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4348 S Jeffrey Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708164196",
            "country_code": "US",
            "telephone_number": "225-361-0219",
            "fax_number": "225-361-0483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNERSON",
        "first_name": "KAYLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-01",
        "last_updated": "2019-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "LA",
            "license": "010590457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH",
            "identifier": "47-3121002",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandy R Kennedy, MS
• Crystal Kennedy, LPC-S
• Deborah H Kennedy, MD
• Kristy Roper Kennedy, M.D.
• Lynette B. Kennedy, CRNA
• Kenneth D Futch, MD, AMC
• Kenneth E McCarron MD PMC
• Kenneth J. Champagne, M.D., Apmc
• Kenneth J. Laborde, M.D. Apmc
• Kenneth L Entes MD Apmc

• Behavior Analyst in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Behavior Analyst in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2019; 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.