Active NPI
Laura Lyons, BCBA-D
- Behavior Analyst
- Wyckoff, NJ
National Provider Identifier
1265954986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-15-19669
- Practice address
- 230 Braen Ave Ste D
Wyckoff, NJ 07481-2948 - Phone
- (973) 423-2254
- NPI assigned
- Jul 13, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | 1-15-19669 | Primary |
Addresses
Primary practice location
230 Braen Ave Ste D
Wyckoff, NJ 07481-2948
Mailing address
1706 Park Ave Apt 2C
Asbury Park, NJ 07712-5133
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499904000000",
"number": "1265954986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1706 PARK AVE APT 2C",
"city": "ASBURY PARK",
"state": "NJ",
"postal_code": "077125133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 BRAEN AVE STE D",
"city": "WYCKOFF",
"state": "NJ",
"postal_code": "074812948",
"telephone_number": "973-423-2254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYONS",
"first_name": "LAURA",
"name_prefix": "Dr.",
"credential": "BCBA-D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-13",
"last_updated": "2017-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": "1-15-19669",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wyckoff, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.