Individual provider Active NPI

Lauren Long, MA, BCBA

  • Behavior Analyst
  • Waynetown, IN
National Provider Identifier
1053811893
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
108 W Washington St
Waynetown, IN 47990-8022
Phone
(765) 326-1501
Fax
(765) 217-7151
NPI assigned
Feb 19, 2018
Last updated
Feb 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

108 W Washington St
Waynetown, IN 47990-8022

Mailing address

PO Box 162
Waynetown, IN 47990-0162
Phone (317) 318-4352

Other practice location 1

1002 E Main St
Attica, IN 47918-1934
Phone (765) 326-1501

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 Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Full Spectrum ABA Therapy Behavior Analyst PastSince Mar 21, 2021 Accepting new patients
K1DS Count Therapy, LLC Behavior Analyst PastSince Feb 2, 2020 Accepting new patients
Full Spectrum ABA Therapy PastSince Apr 25, 2021 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1518998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1053811893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 162",
            "city": "WAYNETOWN",
            "state": "IN",
            "postal_code": "479900162",
            "telephone_number": "317-318-4352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 W WASHINGTON ST",
            "city": "WAYNETOWN",
            "state": "IN",
            "postal_code": "479908022",
            "telephone_number": "765-326-1501",
            "fax_number": "765-217-7151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1002 E Main St",
            "address_purpose": "LOCATION",
            "city": "Attica",
            "state": "IN",
            "postal_code": "479181934",
            "country_code": "US",
            "telephone_number": "765-326-1501",
            "fax_number": "765-217-7151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONG",
        "first_name": "LAUREN",
        "credential": "MA, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-19",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynetown, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; 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.