What is Blair Boudreaux's NPI number?

Blair Boudreaux's National Provider Identifier (NPI) is 1720683808, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Blair Boudreaux's specialty?

Blair Boudreaux is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).

Where is Blair Boudreaux located?

Blair Boudreaux's practice location on file with NPPES is 15489 Dedeaux Rd, Gulfport, MS 39503-2667.

What is Blair Boudreaux's phone number?

The practice phone number listed in the NPPES registry for Blair Boudreaux is (228) 357-5671.

Is Blair Boudreaux's NPI active?

Yes — Blair Boudreaux's NPI (1720683808) is active in the NPPES registry as of the last update on 2020-12-04.

IndividualActive

Blair Boudreaux

NPI 1720683808 · Behavior Technician · Gulfport, MS

Blair Boudreaux is a Behavior Technician provider in Gulfport, MS (NPI 1720683808).

Provider details

NPI number: 1720683808
Entity type: Individual
Primary specialty: Behavior TechnicianBehavioral Health & Social Service Providers
Sex: Female
Sole proprietor: No
License: 20-141657

Specialties & taxonomies

Behavior TechnicianPrimary106S00000XLicense 20-141657
Behavioral Health & Social Service Providers

Profile Score

Established profile(63/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
5 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

15489 Dedeaux Rd

Gulfport, MS 39503-2667

Phone: (228) 357-5671

Fax: (228) 357-5708

Street-level locationGet directions

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Mailing address