Provider Demographics
NPI:1679300990
Name:THURBER, ALAINA KERRY (BCBA)
Entity type:Individual
Prefix:
First Name:ALAINA
Middle Name:KERRY
Last Name:THURBER
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 COVINGTON CTR
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433-2979
Mailing Address - Country:US
Mailing Address - Phone:985-237-1921
Mailing Address - Fax:
Practice Address - Street 1:2000 COVINGTON CTR
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-2979
Practice Address - Country:US
Practice Address - Phone:985-237-1921
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-19
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAL-889103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst