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Jenequa Annette Thomas

Case Manager/Care Coordinator in Baton Rouge, LA. Individual provider (NPI-1).

NPI number1265005201
StatusActive
Last updated in NPPESOct 28, 2025

Details

NPI
1265005201
Entity type
Individual (NPI-1)
Name
Jenequa Annette Thomas
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 19, 2021
Certification date
Oct 28, 2025
Last updated
Oct 28, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator–LAYes
106S00000X Behavior Technician–LA
343900000X Non-emergency Medical Transport (VAN)––

Practice location

11607 Southfork Ave Bldg B
Baton Rouge, LA 70816-5220

Phone 504-641-4297

Mailing address

350 Fairway Dr Ste 101
Deerfield Beach, FL 33441-1834

Phone 877-418-2978 · Fax 866-500-2186

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