Provider Demographics
NPI:1912367962
Name:GUILLOT, HEATHER COCHRAN (BCBA, LBA, MT-BC)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:COCHRAN
Last Name:GUILLOT
Suffix:
Gender:F
Credentials:BCBA, LBA, MT-BC
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:MARIE
Other - Last Name:COCHRAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:181 SCHEXNAYDRE LN
Mailing Address - Street 2:
Mailing Address - City:DESTREHAN
Mailing Address - State:LA
Mailing Address - Zip Code:70047-3708
Mailing Address - Country:US
Mailing Address - Phone:504-237-2077
Mailing Address - Fax:
Practice Address - Street 1:1520 KUEBEL ST STE 4
Practice Address - Street 2:
Practice Address - City:ELMWOOD
Practice Address - State:LA
Practice Address - Zip Code:70123-6975
Practice Address - Country:US
Practice Address - Phone:504-833-6730
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-03
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
14960225A00000X
LAL-533103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist