Active NPI
Lori Demello, PH.D., BCBA
- Behavior Analyst
- Warner Robins, GA
National Provider Identifier
1043679426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-15-20722
- Practice address
- 477 Holly Drive
Warner Robins, GA 31098 - Phone
- (706) 267-6731
- NPI assigned
- Feb 15, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | 1-15-20722 | CO | Primary |
Addresses
Primary practice location
477 Holly Drive
Warner Robins, GA 31098
Mailing address
477 Holly Drive
Warner Robins, GA 31098
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
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455494400000",
"number": "1043679426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "477 HOLLY DRIVE",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "31098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "477 HOLLY DRIVE",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "31098",
"telephone_number": "706-267-6731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMELLO",
"first_name": "LORI",
"name_prefix": "Dr.",
"credential": "PH.D., BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-15",
"last_updated": "2016-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CO",
"license": "1-15-20722",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warner Robins, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.