Provider Demographics
NPI:1316509011
Name:CHATTERNOLA
Entity type:Organization
Organization Name:CHATTERNOLA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:SLP, BCBA
Authorized Official - Phone:504-250-6422
Mailing Address - Street 1:2955 RIDGELAKE DR STE 108
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-4947
Mailing Address - Country:US
Mailing Address - Phone:504-354-8078
Mailing Address - Fax:504-354-1437
Practice Address - Street 1:2955 RIDGELAKE DR STE 108
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-4947
Practice Address - Country:US
Practice Address - Phone:504-354-8078
Practice Address - Fax:504-354-1437
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHATTERNOLA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-07-02
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2104471Medicaid