Vanessa Lara Polanco

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-22-60151 Issued in NC

Practice address

1401 E 7TH St
Charlotte, NC 28204-6300

Phone

(704) 780-4271

Fax

(704) 788-2016

NPI assigned

Apr 14, 2020

Last updated

Sep 1, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1586822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1023637543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 SPRING HAVEN DR",
            "city": "RANDLEMAN",
            "state": "NC",
            "postal_code": "273178300",
            "telephone_number": "336-964-5912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 E 7TH ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282046300",
            "telephone_number": "704-780-4271",
            "fax_number": "704-788-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARA POLANCO",
        "first_name": "VANESSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-14",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": "1-22-60151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sebastien Nicolas Laplante, P.T.
• Jean Baptiste Laporte, ATC, PT
• Charles Warren Lapp, M.D.
• Beth Lappin
• Michael A Lapuente, DO
• Emil Lara
• Vanessa Lara, PHD, CNS, LDN,LN
• Analiz Noelia Laracuente-Espinal
• Kwame Larbi-Siaw
• Timothy Lariche

• Behavior Analyst in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Behavior Analyst in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.