Laura C Iglesias

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

4278 Issued in TX

Practice address

950 E State Highway 114 Ste 160
Southlake, TX 76092-5261

Phone

(949) 401-3931

Fax

(888) 403-6922

NPI assigned

Oct 23, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Laura Lozano Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Brett Dinovi & Associates California

  • Behavior Analyst
  • Orange, CA
  • NPI 1649754755
  NPD

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

{
    "created_epoch": "1414022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1336544097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4050 W METROPOLITAN DR STE 100",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683502",
            "telephone_number": "949-401-3931",
            "fax_number": "888-403-6922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 E STATE HIGHWAY 114 STE 160",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760925261",
            "telephone_number": "949-401-3931",
            "fax_number": "888-403-6922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGLESIAS",
        "first_name": "LAURA",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-23",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "4278",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-14-9744",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "LOZANO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Thien Huynh, PHARM.D.
• Hwa Tow Acupuncture and Oriental Medicine Inc.
• Christian Ibe
• Tarek Ibrahim
• Ideal Dental of Southlake, PLLC
• Asher S. Imam, D.O.
• Infinity Functional Performance
• Natalie Ingravallo
• Innovative Prosthetics Inc
• Integrated Neurology and Neurophysiology of North Texas

• Behavior Analyst in Southlake, TX
• Providers in Southlake, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; 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.