Active NPI
Eda Y Lu, M.S., BCBA, LABA
- Behavior Analyst
- Newton, MA
National Provider Identifier
1043797582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 3567-MH-B1
- Practice address
- 85 Chapel St
Newton, MA 02458 - Phone
- (617) 923-7575
- NPI assigned
- Jul 27, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | |||
| Behavior Analyst | 103K00000X | 3567-MH-B1 | MA | Primary |
Addresses
Primary practice location
85 Chapel St
Newton, MA 02458
Mailing address
25 Mission Park Dr Apt 305
Boston, MA 02115-6210
Phone (617) 682-6501
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3567-MH-B1 | MA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BDG of Massachusetts Inc. | 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
- Woburn, MA
- NPI 1467906842
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623628800000",
"number": "1043797582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 MISSION PARK DR APT 305",
"city": "BOSTON",
"state": "MA",
"postal_code": "021156210",
"telephone_number": "617-682-6501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 CHAPEL ST",
"city": "NEWTON",
"state": "MA",
"postal_code": "02458",
"telephone_number": "617-923-7575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LU",
"first_name": "EDA",
"middle_name": "Y",
"credential": "M.S., BCBA, LABA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-27",
"last_updated": "2021-06-14",
"certification_date": "2021-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MA",
"license": "3567-MH-B1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.