Individual provider Active NPI

Lacey Linaja, BCABA, BCBA

  • Behavior Analyst
  • Kissimmee, FL
National Provider Identifier
1023553955
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-23-68296 Issued in FL
Practice address
3357 W Vine St Ste 103
Kissimmee, FL 34741-4664
Phone
(352) 872-4098
NPI assigned
Jan 2, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X 0-19-10011 FL
Behavior Technician 106S00000X
Behavior Analyst 103K00000X 1-23-68296 FL Primary

Addresses

Primary practice location

3357 W Vine St Ste 103
Kissimmee, FL 34741-4664

Mailing address

111 E Lake Mary Dr
Orlando, FL 32839-4116
Phone (352) 872-4098

Other names 1

  • Lacey Duncan Former name

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

OrganizationSpecialtyStatusNew patients
Clearbridge Collective LLC Behavior Analyst CurrentSince Jul 9, 2023 Accepting new patients
Kids Corner Behavior Services Inc Behavior Analyst PastSince May 1, 2024 Accepting new patients
Kids Corner Behavior Services Inc Behavior Analyst PastSince May 1, 2025 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1483315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1023553955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E LAKE MARY DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328394116",
            "telephone_number": "352-872-4098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3357 W VINE ST STE 103",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414664",
            "telephone_number": "352-872-4098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINAJA",
        "first_name": "LACEY",
        "credential": "BCABA, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-02",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "0-19-10011",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-23-68296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LACEY",
            "last_name": "DUNCAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.