Individual provider Active NPI

Lauren Pack, BCBA

  • Behavior Analyst
  • Huntsville, AL
National Provider Identifier
1275105322
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-21-50579 Issued in AL
Practice address
2117 Metro Cir SW Ste a
Huntsville, AL 35801-5343
Phone
(256) 701-4410
Fax
(256) 564-7320
NPI assigned
Jul 16, 2021
Last updated
Jul 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-21-50579 AL Primary

Addresses

Primary practice location

2117 Metro Cir SW Ste a
Huntsville, AL 35801-5343

Mailing address

2117 Metro Cir SW Ste a
Huntsville, AL 35801-5343
Phone (256) 701-4410

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Huntsville
Direct Messaging Address lauren@everythingonthespectrum.com Direct

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

OrganizationSpecialtyStatusNew patients
Everything on the Spectrum LLC Behavior Analyst CurrentSince Aug 11, 2024 Accepting new patients

Locations

2117 Metro Cir SW
#A
Huntsville, AL 35801
Phone (256) 701-3134

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1626393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1275105322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2117 METRO CIR SW STE A",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015343",
            "telephone_number": "256-701-4410",
            "fax_number": "256-564-7320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2117 METRO CIR SW STE A",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015343",
            "telephone_number": "256-701-4410",
            "fax_number": "256-564-7320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACK",
        "first_name": "LAUREN",
        "name_prefix": "Mrs.",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-16",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AL",
            "license": "1-21-50579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Huntsville",
            "affiliation": "N",
            "address_1": "805 Madison St SE Ste C",
            "city": "Huntsville",
            "state": "AL",
            "country_code": "US",
            "postal_code": "358014419",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lauren@everythingonthespectrum.com",
            "affiliation": "N",
            "endpointDescription": "Secure Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "N/A",
            "address_1": "2117 Metro Cir SW Ste A",
            "city": "Huntsville",
            "state": "AL",
            "country_code": "US",
            "postal_code": "358015343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.

Verify at the official NPI Registry.