MEDICARE: HEATHER RHODES

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
1	103K00000X	Behavior Analyst	1042	LA

General Provider Information

NPI Number	:	1609745926
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER RHODES

Provider Business Mailing Address
First Line	:	12950 SLOPE OAK AVE
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70818-1439
Country	:	US
Telephone Number	:	225-978-4910
Fax Number	:

Provider Business Practice Location Address
First Line	:	133 ASPEN SQ
Second Line	:
City	:	DENHAM SPRINGS
State	:	LA
Zip	:	70726-5322
Country	:	US
Telephone Number	:	225-791-0617
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/04/2025
Last Update Date	:	11/07/2025

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Directions to “ HEATHER RHODES ” Practice Location

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