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NPI Code Detail

MEDICARE: CHAKIA K BOUTTE

MEDICARE: CHAKIA K BOUTTE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianLA

General Provider Information

NPI Number : 1346106507
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHAKIA K BOUTTE
Provider Business Mailing Address
First Line : 10501 CURRAN BLVD APT 6K
Second Line : 6K
City : NEW ORLEANS
State : LA
Zip : 70127-5128
Country : US
Telephone Number : 504-316-7607
Fax Number :
Provider Business Practice Location Address
First Line : 10501 CURRAN BLVD APT 6K
Second Line : 6K
City : NEW ORLEANS
State : LA
Zip : 70127-5128
Country : US
Telephone Number : 504-316-7607
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/31/2025
Last Update Date : 12/31/2025

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Directions to “ CHAKIA K BOUTTE ” Practice Location

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