Provider Demographics
NPI:1144637588
Name:LOWE, ANNA ELIZABETH I (BCBA, LBA)
Entity type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:ELIZABETH
Last Name:LOWE
Suffix:I
Gender:F
Credentials:BCBA, LBA
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:ELIZABETH
Other - Last Name:LOVELACE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BCBA
Mailing Address - Street 1:300 SWIFT FOX RUN
Mailing Address - Street 2:
Mailing Address - City:MADISONVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70447
Mailing Address - Country:US
Mailing Address - Phone:225-955-2662
Mailing Address - Fax:
Practice Address - Street 1:19550 N. 10 ST BRENNAN BEHAVIOR GROUP
Practice Address - Street 2:UNIT 1
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433
Practice Address - Country:US
Practice Address - Phone:504-833-6730
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-17
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAL-346103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA3121107Medicaid