Lacey Waskiewicz, M.S., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

2022-385-MH-B1-APP Issued in MA

Practice address

90 Carando Dr
Springfield, MA 01104-4205

Phone

(413) 865-6919

NPI assigned

Jan 3, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1546473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1285107177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 PLEASANT ST",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010402653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 CARANDO DR",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011044205",
            "telephone_number": "413-865-6919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "345 Greenwood St Ste A",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016071767",
            "country_code": "US",
            "telephone_number": "508-363-0200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WASKIEWICZ",
        "first_name": "LACEY",
        "credential": "M.S., BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-03",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "2022-385-MH-B1-APP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devron Washington
• Keyona Washington
• Noelani Asmara Washington, APRN, PMHNP-BC
• Vincent R Washington
• Katherine Wasiuk
• Bruce David Waslick, MD
• Allison M. Wasserman, M.D.
• Brian Scott Wasserman, M.D.
• Caitlyn R Wasserman, MD
• Katherine Waterman, N.P-C

• Behavior Analyst in Springfield, MA
• Providers in Springfield, MA by specialty
• Behavior Analyst in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; 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.