Active NPI
Lauren Mackenzie Melton, BCBA
- Behavior Analyst
- Longwood, FL
National Provider Identifier
1013426410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-21-52925
- Practice address
- 160 E Lake Brantley Dr
Longwood, FL 32779-4807 - Phone
- (407) 218-4340
- NPI assigned
- Sep 28, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-21-52925 | FL | Primary |
Addresses
Primary practice location
160 E Lake Brantley Dr
Longwood, FL 32779-4807
Mailing address
160 E Lake Brantley Dr
Longwood, FL 32779-4807
Phone (407) 218-4340
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 022115800 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavior Change and Associates | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Behavior Analyst
- Longwood, FL
- NPI 1366928251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737504000000",
"number": "1013426410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 E LAKE BRANTLEY DR",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327794807",
"telephone_number": "407-218-4340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 E LAKE BRANTLEY DR",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327794807",
"telephone_number": "407-218-4340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELTON",
"first_name": "LAUREN",
"middle_name": "MACKENZIE",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-28",
"last_updated": "2025-01-22",
"certification_date": "2025-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-21-52925",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "022115800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Longwood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.