Jennifer F Lords, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

LBA0128 Issued in NV

Practice address

4133 Broken Hill Rd
Winnemucca, NV 89445-4172

Phone

(435) 841-7523

NPI assigned

Apr 26, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lydias Small Unique Minds LLC

  • Behavior Analyst
  • Lagrange, GA
  • NPI 1578335618
  NPD (past)

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

{
    "created_epoch": "1524700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524700800000",
    "number": "1184112914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4133 BROKEN HILL RD",
            "city": "WINNEMUCCA",
            "state": "NV",
            "postal_code": "894454172",
            "telephone_number": "435-841-7523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4133 BROKEN HILL RD",
            "city": "WINNEMUCCA",
            "state": "NV",
            "postal_code": "894454172",
            "telephone_number": "435-841-7523"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 E 4th St",
            "address_purpose": "LOCATION",
            "city": "Winnemucca",
            "state": "NV",
            "postal_code": "894452831",
            "country_code": "US",
            "telephone_number": "775-623-8120 x309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LORDS",
        "first_name": "JENNIFER",
        "middle_name": "F",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-26",
        "last_updated": "2018-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NV",
            "license": "LBA0128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Rosann Lewis, CNA
• Shouping Li, MD
• Lincare Inc.
• Valarie Lockaby
• Marian Altephany Cel Lopez
• Clinton Low, D.C.
• Rhoda Eileen Maglaya, PHARMD
• Marlaine Marden
• Alejandro Caesar Martinez, DPT
• Jamie L Marvel, DDS

• Behavior Analyst in Winnemucca, NV
• Providers in Winnemucca, NV by specialty
• Behavior Analyst in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; 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.