Lydia Hall, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-22-59510 Issued in IN

Practice address

2014 Lincolnway E Ste 3
Goshen, IN 46526-6818

Phone

(239) 920-3948

NPI assigned

May 11, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Virtus Health, LLC

  • Behavior Analyst
  • Port Charlotte, FL
  • NPI 1417238338
  NPD
• Partners in Autism

  • Behavior Analyst
  • Fort Wayne, IN
  • NPI 1104236272
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1003552050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8237 VICELA DR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342401462",
            "telephone_number": "260-241-5796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 LINCOLNWAY E STE 3",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465266818",
            "telephone_number": "239-920-3948"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "992 Tamiami Trl",
            "address_purpose": "LOCATION",
            "city": "Port Charlotte",
            "state": "FL",
            "postal_code": "339533868",
            "country_code": "US",
            "telephone_number": "941-374-6662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "LYDIA",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-11",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IN",
            "license": "1-22-59510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakshmi Gullapalli, MD
• Deborah L. Gunden, NP
• Djavid Hadian, M.D.
• Amy Sue Hahn, OTR
• Christina Haimes, M.D.
• Tia Hall
• Mohsen Hamadanchi, DC
• Hancock Regional Hospital
• John W Harley, MD
• Stephen David Harmon, MD

• Behavior Analyst in Goshen, IN
• Providers in Goshen, IN by specialty
• Behavior Analyst in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.