Active NPI
Elizabeth Landers, BCBA
- Behavior Analyst
- Cumming, GA
National Provider Identifier
1356777056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-13-13515
- Practice address
- 410 Peachtree Pkwy Ste 4245
Cumming, GA 30041-7407 - Phone
- (818) 241-6780
- Fax
- (818) 241-6853
- NPI assigned
- Sep 25, 2013
- Last updated
- Aug 23, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-13-13515 | CA | Primary |
Addresses
Primary practice location
410 Peachtree Pkwy Ste 4245
Cumming, GA 30041-7407
Mailing address
1055 E Colorado Blvd Ste 560
Pasadena, CA 91106-2380
Phone (818) 241-6780
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-13-13515 | Other | CA | BCBA |
Other names 1
- Elizabeth Martin
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alp Psychology Associates, PC | Behavior Analyst | Past | Accepting new patients |
| Childrens Learning Connection, LLC | Behavior Analyst | Past | Accepting new patients |
| Autism Learning Partners, LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 3
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.
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- NPI 1538507447
-
dba Autism Learning Partners
- Behavior Analyst
- Downey, CA
- NPI 1942537733
-
- Speech-Language Pathologist
- Huntington Beach, CA
- NPI 1689723595
Behavior Analyst
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566518400000",
"number": "1356777056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1055 E COLORADO BLVD STE 560",
"city": "PASADENA",
"state": "CA",
"postal_code": "911062380",
"telephone_number": "818-241-6780",
"fax_number": "818-241-6853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 PEACHTREE PKWY STE 4245",
"city": "CUMMING",
"state": "GA",
"postal_code": "300417407",
"telephone_number": "818-241-6780",
"fax_number": "818-241-6853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDERS",
"first_name": "ELIZABETH",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-25",
"last_updated": "2019-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-13-13515",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBA",
"identifier": "1-13-13515",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "MARTIN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Cumming, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.