NPI 1255004909 · live from the CMS NPI Registry
Adam Taylor Bennett
Behavior Analyst in Lake Charles, LA. National Provider Identifier 1255004909, active.
NPI record
| NPI | 1255004909 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 2519 Ryan St, Lake Charles, LA 70601 |
| Practice phone | 337-491-0800 |
| Enumerated | July 28, 2021 |
| Last updated | July 28, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | L-559 (LA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.