Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Pediatric Boulevard, PLLC

Organization Behavior Analyst · NPI 1114233590

Pediatric Boulevard, PLLC is a Behavior Analyst in Monroe, North Carolina. Registered with an NPI since 2010.

In the registry since
2010
Specialties on file
4
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2814 Gray Fox Rd
Monroe, NC 28110-8422
Phone: (704) 821-0568
Fax: (704) 821-0570
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X
Behavior Analyst Taxonomy 103K00000X
Physical Therapist Taxonomy 225100000X
Occupational Therapist Taxonomy 225X00000X

Record details

NPI number1114233590
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Toinette Laguerre — Director · (704) 821-0568
NPI enumeratedAugust 24, 2010
Last updated in NPPESSeptember 12, 2014
Mailing address2814 Gray Fox Rd, Monroe, NC 28110-8422

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