Healthcare Provider Details

I. General information

NPI: 1932608635
Provider Name (Legal Business Name): NATALIE ORJUELA BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/08/2018
Last Update Date: 12/04/2024
Certification Date: 12/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4613 FAIRFIELD ST
METAIRIE LA
70006-2742
US

IV. Provider business mailing address

733 DANTE ST
NEW ORLEANS LA
70118-1013
US

V. Phone/Fax

Practice location:
  • Phone: 504-544-0740
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: