Provider Demographics
NPI:1063195899
Name:DUPRE, LINDEY A (MA, BCBA)
Entity type:Individual
Prefix:
First Name:LINDEY
Middle Name:A
Last Name:DUPRE
Suffix:
Gender:F
Credentials:MA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7835 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:HOUMA
Mailing Address - State:LA
Mailing Address - Zip Code:70364-3112
Mailing Address - Country:US
Mailing Address - Phone:985-872-9838
Mailing Address - Fax:985-872-9866
Practice Address - Street 1:7835 PARK AVE
Practice Address - Street 2:
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70364-3112
Practice Address - Country:US
Practice Address - Phone:985-872-9838
Practice Address - Fax:985-872-9866
Is Sole Proprietor?:No
Enumeration Date:2023-08-09
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAL-751103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst