Individual provider Active NPI

Kayla M Holt

  • Behavior Technician
  • Shreveport, LA
National Provider Identifier
1992517452
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
R-20975 Issued in LA
Practice address
2522 E 70TH St
Shreveport, LA 71105-4002
Phone
(318) 795-3388
Fax
(318) 795-3399
NPI assigned
Jan 22, 2025
Last updated
Jan 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X R-20975 LA Primary

Addresses

Primary practice location

2522 E 70TH St
Shreveport, LA 71105-4002

Mailing address

2522 E 70TH St
Shreveport, LA 71105-4002
Phone (318) 795-3388

Other names 1

  • Kayla Anderson Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Kayla.holt@littleworksinprogress.com Direct

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

LicenseStateTypeSpecialty
R-20975LAMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Wardell Interests, Inc PastSince Jan 26, 2025 Accepting new patients
Wardell Interest, Inc. PastSince Jan 26, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kayla.holt@littleworksinprogress.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1737504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1992517452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2522 E 70TH ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711054002",
            "telephone_number": "318-795-3388",
            "fax_number": "318-795-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2522 E 70TH ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711054002",
            "telephone_number": "318-795-3388",
            "fax_number": "318-795-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT",
        "first_name": "KAYLA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-22",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "LA",
            "license": "R-20975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kayla.holt@littleworksinprogress.com",
            "affiliation": "N",
            "endpointDescription": "Shreveport",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2522 E 70th St",
            "city": "Shreveport",
            "state": "LA",
            "country_code": "US",
            "postal_code": "711054002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KAYLA",
            "last_name": "ANDERSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.