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Cerise Elise Bouchard, CLC

NPI 1407152234ActiveIndividual· Developmental Therapist· Lexington, KY

Developmental Therapist (CLC) in Lexington, Kentucky, licensed in KY, with an NPI issued in January 2011.

Overview

NPI1407152234
StatusActive
Entity typeIndividual
CredentialCLC
Sole proprietorYes
NPI issuedJan 26, 2011
Last updated in NPPESJun 14, 2022
Certified by providerJun 14, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Developmental Therapist Primary222Q00000X201197964KY

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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