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

Blair Boudreaux

Individual provider Behavior Technician · NPI 1720683808

Blair Boudreaux is a Behavior Technician in Gulfport, Mississippi. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

15489 Dedeaux Rd
Gulfport, MS 39503-2667
Phone: (228) 357-5671
Fax: (228) 357-5708
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence 20-141657

Record details

NPI number1720683808
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 4, 2020
Last updated in NPPESDecember 4, 2020
Certification dateDecember 4, 2020

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