Provider Demographics
NPI:1700677747
Name:BASCLE, HEATHER LEE (MS, BCBA, LBA)
Entity type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:LEE
Last Name:BASCLE
Suffix:
Gender:F
Credentials:MS, BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1363 DOCTOR BEATROUS RD
Mailing Address - Street 2:
Mailing Address - City:THERIOT
Mailing Address - State:LA
Mailing Address - Zip Code:70397-9633
Mailing Address - Country:US
Mailing Address - Phone:985-226-3178
Mailing Address - Fax:
Practice Address - Street 1:108 PICONE RD
Practice Address - Street 2:
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70363-7051
Practice Address - Country:US
Practice Address - Phone:985-226-3178
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-16
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAL-974103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst