Provider Demographics
NPI:1871894279
Name:PRAT, CLAIRE (BCBA, MCD, CCC-SLP)
Entity type:Individual
Prefix:
First Name:CLAIRE
Middle Name:
Last Name:PRAT
Suffix:
Gender:F
Credentials:BCBA, MCD, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3626 NASHVILLE AVE
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70125-4342
Mailing Address - Country:US
Mailing Address - Phone:513-260-3446
Mailing Address - Fax:
Practice Address - Street 1:5700 CITRUS BLVD STE A1
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70123-8505
Practice Address - Country:US
Practice Address - Phone:866-727-8274
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-16
Last Update Date:2017-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAL-104103K00000X
LA7057235Z00000X
LA14060008235Z00000X
1-14-17113103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist