Individual provider Active NPI

Lauren Condra, BOARD CERTIFIED BEH

  • Behavior Analyst
  • Victoria, TX
National Provider Identifier
1124782487
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
4688 Issued in TX
Practice address
4208 Retama Cir
Victoria, TX 77901-2765
Phone
(361) 578-2257
Fax
(361) 578-2260
NPI assigned
Oct 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X
Behavior Analyst 103K00000X 4688 TX Primary

Addresses

Primary practice location

4208 Retama Cir
Victoria, TX 77901-2765

Mailing address

103 Vista Alta
Victoria, TX 77904
Phone (979) 541-3829

Other practice location 1

506 S Eagle St
Weimar, TX 78962-2902
Phone (979) 314-7229

Other practice location 2

6502 Nursery Dr Ste 100
Victoria, TX 77904-1181
Phone (361) 575-0611

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

State licenses

LicenseStateTypeSpecialty
4688TXMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hatch Behavior Analyst Past Accepting new patients
Hatch Ventures, LLC Behavior Analyst PastSince Aug 11, 2019 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1634947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1124782487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 VISTA ALTA",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "77904",
            "telephone_number": "979-541-3829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4208 RETAMA CIR",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779012765",
            "telephone_number": "361-578-2257",
            "fax_number": "361-578-2260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "506 S Eagle St",
            "address_purpose": "LOCATION",
            "city": "Weimar",
            "state": "TX",
            "postal_code": "789622902",
            "country_code": "US",
            "telephone_number": "979-314-7229",
            "fax_number": "855-839-6442",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6502 Nursery Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Victoria",
            "state": "TX",
            "postal_code": "779041181",
            "country_code": "US",
            "telephone_number": "361-575-0611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONDRA",
        "first_name": "LAUREN",
        "credential": "BOARD CERTIFIED BEH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-23",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "4688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.