Provider Demographics
NPI:1528674124
Name:BAQUET, ERIC PAUL (BCBA)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:PAUL
Last Name:BAQUET
Suffix:
Gender:M
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 DOVER DR
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70503-5053
Mailing Address - Country:US
Mailing Address - Phone:337-264-2603
Mailing Address - Fax:337-284-8324
Practice Address - Street 1:201 DOVER DR
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-5053
Practice Address - Country:US
Practice Address - Phone:337-264-2603
Practice Address - Fax:337-284-8324
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-18
Last Update Date:2025-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAL-407103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst