Active NPI
Lauren Condra, BOARD CERTIFIED BEH
- Behavior Analyst
- Victoria, TX
National Provider Identifier
1124782487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 4688
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4688 | TX | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hatch | Behavior Analyst | Past | Accepting new patients |
| Hatch Ventures, LLC | Behavior Analyst | Past | 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.
-
- Behavior Analyst
- Weimar, TX
- NPI 1811283237
-
- Behavior Analyst
- Victoria, TX
- NPI 1114572187
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
- Comfort Loving Care
- Community Action Committee of Victoria Texas
- Community Health Centers of South Central Texas Inc
- Community Mother and Child Health Center
- Community Mother and Child Health Center
- Ana Mari Congdon, SLP
- Jacquelyn Rather Connally, PHARMD
- Stuart Mellett Connell, M.D.
- Rebecca Marie Constantino, P.A.-C.
- Kelle Cook, FNP
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.