Active NPI
Carlee Lacer, BCBA
- Behavior Analyst
- Loveland, CO
National Provider Identifier
1194359943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-24-77888
- Practice address
- 4016 Boulder Dr
Loveland, CO 80538-2004 - Phone
- (303) 960-5096
- NPI assigned
- Mar 1, 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 Technician | 106S00000X | RBT-18-67781 | ||
| Behavior Analyst | 103K00000X | 1-24-77888 | Primary |
Addresses
Primary practice location
4016 Boulder Dr
Loveland, CO 80538-2004
Mailing address
4016 Boulder Dr
Loveland, CO 80538-2004
Phone (303) 960-5096
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-24-77888 | Other | BEHAVIOR ANALYST CERTIFICATION BOARD |
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 |
|---|---|---|---|
| Center for Social Dynamics | Past | Accepting new patients |
Organizations & group practices 1
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
- Oakland, CA
- NPI 1497093355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735171200000",
"number": "1194359943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4016 BOULDER DR",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805382004",
"telephone_number": "303-960-5096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4016 BOULDER DR",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805382004",
"telephone_number": "303-960-5096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACER",
"first_name": "CARLEE",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-01",
"last_updated": "2024-12-26",
"certification_date": "2024-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": "RBT-18-67781",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-24-77888",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD",
"identifier": "1-24-77888",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Loveland, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.