Lauren Yvonne Bourguignon

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

3155 Snow Trillium Way
Evergreen, CO 80439-9204

Phone

(208) 585-8743

NPI assigned

May 29, 2020

Last updated

May 29, 2020By 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": "1590710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590710400000",
    "number": "1104440817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 N PENNSYLVANIA ST APT 1",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802033157",
            "telephone_number": "208-585-8743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3155 SNOW TRILLIUM WAY",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804399204",
            "telephone_number": "208-585-8743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURGUIGNON",
        "first_name": "LAUREN",
        "middle_name": "YVONNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-29",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Black, SLP
• Leah Black, RDN
• Will Black
• Blue Creek Medicine PC (Blue Creek Family Medicine)
• Christina Boehmer, MA CCC-SLP
• Victoria Carleen Bown, DPT
• Braden Partners LP (Pacific Pulmonary Services)
• Natalie Kathleen Bramham
• Amy Brand, MPT
• Michelle Breault

• Behavior Technician in Evergreen, CO
• Providers in Evergreen, CO by specialty
• Behavior Technician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2020; 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.