Active NPI
Laci Lyn Scates, M.S., BCBA, LBA
- Behavior Analyst
- Smyrna, TN
National Provider Identifier
1225636590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1151
- Practice address
- 883 Seven Oaks Blvd
Smyrna, TN 37167-6862 - Phone
- (629) 772-8311
- Fax
- (629) 206-6961
- NPI assigned
- Oct 9, 2020
- Last updated
- Dec 12, 2023
- 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 | 1151 | TN | Primary |
| Behavior Technician | 106S00000X | NU |
Addresses
Primary practice location
883 Seven Oaks Blvd
Smyrna, TN 37167-6862
Mailing address
300 International Pkwy Ste 200
Lake Mary, FL 32746-5028
Phone (407) 915-7729
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1151 | TN | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702339200000",
"number": "1225636590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 INTERNATIONAL PKWY STE 200",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327465028",
"telephone_number": "407-915-7729",
"fax_number": "407-588-6294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "883 SEVEN OAKS BLVD",
"city": "SMYRNA",
"state": "TN",
"postal_code": "371676862",
"telephone_number": "629-772-8311",
"fax_number": "629-206-6961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCATES",
"first_name": "LACI",
"middle_name": "LYN",
"credential": "M.S., BCBA, LBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-09",
"last_updated": "2023-12-12",
"certification_date": "2023-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TN",
"license": "1151",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Smyrna, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.