Provider Demographics
NPI:1073775201
Name:COLE, RENEE GUIDRY (MA, BCBA, LBA)
Entity type:Individual
Prefix:
First Name:RENEE
Middle Name:GUIDRY
Last Name:COLE
Suffix:
Gender:
Credentials:MA, BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8180 SIEGEN LN
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70810-1914
Mailing Address - Country:US
Mailing Address - Phone:225-921-0361
Mailing Address - Fax:
Practice Address - Street 1:8180 SIEGEN LN
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70810-1914
Practice Address - Country:US
Practice Address - Phone:225-921-0361
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-29
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1-06-3066174400000X
LAL026103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No174400000XOther Service ProvidersSpecialist