Provider Demographics
NPI:1336611565
Name:LEJEUNE, KEVIN M (MED BCBA LBA)
Entity Type:Individual
Prefix:
First Name:KEVIN
Middle Name:M
Last Name:LEJEUNE
Suffix:
Gender:M
Credentials:MED BCBA LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3926 BARRON ST STE A110
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-5824
Mailing Address - Country:US
Mailing Address - Phone:504-517-4282
Mailing Address - Fax:888-965-4931
Practice Address - Street 1:3926 BARRON ST STE A110
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-5824
Practice Address - Country:US
Practice Address - Phone:504-517-4282
Practice Address - Fax:888-965-4931
Is Sole Proprietor?:No
Enumeration Date:2018-12-28
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAL330103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst