NPI 1508247768 · live from the CMS NPI Registry
Kenosha Baise
Behavior Analyst in Maringouin, LA. National Provider Identifier 1508247768, active.
NPI record
| NPI | 1508247768 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 77135 Iberville Dr, Maringouin, LA 70757 |
| Practice phone | 225-317-1693 |
| Enumerated | June 13, 2015 |
| Last updated | June 13, 2015 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — (LA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.