Healthcare Provider Details

I. General information

NPI: 1659085694
Provider Name (Legal Business Name): RHYANNON PAIGE GIROUARD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/12/2023
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

139 JAMES COMEAUX RD STE B, BOX 818
LAFAYETTE LA
70508-3376
US

IV. Provider business mailing address

7108 S KANNER HWY
STUART FL
34997-7462
US

V. Phone/Fax

Practice location:
  • Phone: 855-832-6727
  • Fax:
Mailing address:
  • Phone: 855-832-6727
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License NumberC-289
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: