Provider Demographics
NPI:1003622325
Name:PAGANI, JENNIFER BABIN (BCBA, LBA)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:BABIN
Last Name:PAGANI
Suffix:
Gender:F
Credentials:BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14273 RIVERLAKE DR
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70435-5792
Mailing Address - Country:US
Mailing Address - Phone:504-432-5287
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:504-635-2061
Is Sole Proprietor?:No
Enumeration Date:2024-12-10
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1-24-76629103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst