Active NPI
Cheyne Lynne Bamburg
- Behavior Analyst
- Lafayette, LA
National Provider Identifier
1952964355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- L-358
- Practice address
- 1602 W Pinhook Rd Ste 303
Lafayette, LA 70508-3735 - Phone
- (337) 806-9601
- Fax
- (337) 484-1405
- NPI assigned
- Apr 21, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | L-358 | LA | Primary |
Addresses
Primary practice location
1602 W Pinhook Rd Ste 303
Lafayette, LA 70508-3735
Mailing address
401 N College Rd
Lafayette, LA 70506-4263
Phone (337) 456-5705
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L-358 | LA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656547200000",
"number": "1952964355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 N COLLEGE RD",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705064263",
"telephone_number": "337-456-5705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1602 W PINHOOK RD STE 303",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705083735",
"telephone_number": "337-806-9601",
"fax_number": "337-484-1405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAMBURG",
"first_name": "CHEYNE",
"middle_name": "LYNNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-21",
"last_updated": "2022-06-30",
"certification_date": "2022-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "LA",
"license": "L-358",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.