Active NPI
Kaeli Lafavor, BCBA
- Behavior Analyst
- Lansing, MI
National Provider Identifier
1174159537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 7401001267
- Practice address
- 4285 Development Dr
Lansing, MI 48911-4213 - Phone
- (517) 706-0421
- NPI assigned
- Mar 18, 2020
- 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 | 352-140 | WI | |
| Behavior Analyst | 103K00000X | 7401001267 | MI | Primary |
Addresses
Primary practice location
4285 Development Dr
Lansing, MI 48911-4213
Mailing address
5172 Madison Ave Apt B5
Okemos, MI 48864-5119
Phone (517) 614-8933
Other practice location 1
559 Zor Shrine Pl
Madison, WI 53719-2068
Phone (920) 857-9041
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 |
|---|---|---|---|
| 7401001267 | MI | MD | Behavioral Analyst |
| 352-140 | WI | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caravel Autism Health, LLC | Behavior Analyst | Past | Accepting new patients |
| Integrated Developmental Services, Inc | 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
- Green Bay, WI
- NPI 1588993091
-
- Mental Health Counselor
- Madison, WI
- NPI 1528025954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688688000000",
"number": "1174159537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5172 MADISON AVE APT B5",
"city": "OKEMOS",
"state": "MI",
"postal_code": "488645119",
"telephone_number": "517-614-8933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4285 DEVELOPMENT DR",
"city": "LANSING",
"state": "MI",
"postal_code": "489114213",
"telephone_number": "517-706-0421"
}
],
"practiceLocations": [
{
"address_1": "559 Zor Shrine Pl",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "WI",
"postal_code": "537192068",
"country_code": "US",
"telephone_number": "920-857-9041",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAFAVOR",
"first_name": "KAELI",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-18",
"last_updated": "2023-07-07",
"certification_date": "2023-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "WI",
"license": "352-140",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MI",
"license": "7401001267",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.