NPIMap

Organization Active NPI

Lacuna Autism Services LLC

  • Behavior Analyst
  • New Haven, CT
National Provider Identifier
1013736107
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
LACUNA AUTISM SERVICES LLC
Practice address
139 Orange St
New Haven, CT 06510-3140
Phone
(888) 611-0870
Fax
(888) 714-4996
NPI assigned
Oct 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Authorized official

Name
Joseph Creager
Title
President
Phone
(888) 611-0870

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

139 Orange St
New Haven, CT 06510-3140

Mailing address

830 Tenderfoot Hill Rd Ste 100
Colorado Springs, CO 80906-7372
Phone (888) 611-0870

National Provider Directory

National Provider Directory
Tax ID family
Lacuna Autism Services LLC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1728259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1013736107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 TENDERFOOT HILL RD STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809067372",
            "telephone_number": "888-611-0870",
            "fax_number": "888-714-4996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 ORANGE ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103140",
            "telephone_number": "888-611-0870",
            "fax_number": "888-714-4996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LACUNA AUTISM SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-07",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "CREAGER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-611-0870"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.