Active NPI
Ellen Jo Lewis, BCBA-D
- Behavior Analyst
- Lompoc, CA
National Provider Identifier
1154670453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-08-4425
- Practice address
- 126 S H St
Lompoc, CA 93436-6821 - Phone
- (805) 979-9941
- NPI assigned
- Aug 31, 2012
- Last updated
- Aug 31, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-08-4425 | CA | Primary |
Addresses
Primary practice location
126 S H St
Lompoc, CA 93436-6821
Mailing address
308 S Catalina St
Ventura, CA 93001-3629
Phone (805) 477-8407
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12375700 | Other | CA | CAQH |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346371200000",
"number": "1154670453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 S CATALINA ST",
"city": "VENTURA",
"state": "CA",
"postal_code": "930013629",
"telephone_number": "805-477-8407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 S H ST",
"city": "LOMPOC",
"state": "CA",
"postal_code": "934366821",
"telephone_number": "805-979-9941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "ELLEN",
"middle_name": "JO",
"name_prefix": "Dr.",
"credential": "BCBA-D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-31",
"last_updated": "2012-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-08-4425",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "12375700",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lompoc, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.