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

Evan Dickerson

Individual provider Behavior Technician · NPI 1972364644

Evan Dickerson is a Behavior Technician in Baton Rouge, Louisiana. Licensed in Louisiana. Registered with an NPI since 2024.

Licensed in
LA
In the registry since
2024

Practice location Address checks out

11607 Southfork Ave
Baton Rouge, LA 70816-5220
Phone: (504) 641-4297
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (LA)

Record details

NPI number1972364644
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 19, 2024
Last updated in NPPESJanuary 19, 2024
Certification dateJanuary 19, 2024

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