Active NPI
Renee Michele Lucas, BCBA
- Behavior Analyst
- Cromwell, CT
National Provider Identifier
1154986214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 555
- Practice address
- 110 Court St Ste 3
Cromwell, CT 06416-1273 - Phone
- (860) 613-9930
- Fax
- (860) 613-9952
- NPI assigned
- May 4, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 555 | CT | Primary |
Addresses
Primary practice location
110 Court St Ste 3
Cromwell, CT 06416-1273
Mailing address
110 Court St Ste 3
Cromwell, CT 06416-1273
Phone (860) 613-9930
Other names 1
- Miss Renee Michele Zegarski
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Education Assessment Consultation Services | Current | Accepting new patients | |
| The Kennedy Collective, Inc. | Past | Accepting new patients | |
| The Kennedy Collective, Inc. | Behavior Analyst | Past | Accepting new patients |
Locations
110 Court St
Ste 3
Cromwell, CT 06416
Phone (860) 281-6271
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Cromwell, CT
- NPI 1932440617
-
- Behavior Analyst
- Trumbull, CT
- NPI 1326506072
-
- Developmentally Disabled Services Day Training Agency
- Trumbull, CT
- NPI 1710004098
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712620800000",
"number": "1154986214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 COURT ST STE 3",
"city": "CROMWELL",
"state": "CT",
"postal_code": "064161273",
"telephone_number": "860-613-9930",
"fax_number": "860-613-9952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 COURT ST STE 3",
"city": "CROMWELL",
"state": "CT",
"postal_code": "064161273",
"telephone_number": "860-613-9930",
"fax_number": "860-613-9952"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCAS",
"first_name": "RENEE",
"middle_name": "MICHELE",
"name_prefix": "Mrs.",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-04",
"last_updated": "2024-04-09",
"certification_date": "2024-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CT",
"license": "555",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RENEE",
"last_name": "ZEGARSKI",
"middle_name": "MICHELE",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Cromwell, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.