Provider Demographics
NPI:1386442424
Name:ARDOIN, JEAN BATISTE (BEHAVIOR TECHNICIAN)
Entity type:Individual
Prefix:
First Name:JEAN
Middle Name:BATISTE
Last Name:ARDOIN
Suffix:
Gender:
Credentials:BEHAVIOR TECHNICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2073 FRENCH ST
Mailing Address - Street 2:
Mailing Address - City:VILLE PLATTE
Mailing Address - State:LA
Mailing Address - Zip Code:70586-7634
Mailing Address - Country:US
Mailing Address - Phone:337-336-2467
Mailing Address - Fax:
Practice Address - Street 1:2073 FRENCH ST
Practice Address - Street 2:
Practice Address - City:VILLE PLATTE
Practice Address - State:LA
Practice Address - Zip Code:70586-7634
Practice Address - Country:US
Practice Address - Phone:337-336-2467
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-05
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LABACB1285959106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician