Active NPI
Lauren Servellon, BCBA
- Behavior Analyst
- Alhambra, CA
National Provider Identifier
1356847503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-21-57133
- Practice address
- 1000 S Fremont Ave BLDG 5a
Alhambra, CA 91803-8800 - Phone
- (626) 407-0747
- NPI assigned
- Apr 4, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | 0-17-8250 | CA | |
| Behavior Analyst | 103K00000X | 1-21-57133 | CA | Primary |
Addresses
Primary practice location
1000 S Fremont Ave BLDG 5a
Alhambra, CA 91803-8800
Mailing address
32 Prospect Ave Apt 5
Long Beach, CA 90803-3019
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": "1522800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641513600000",
"number": "1356847503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 PROSPECT AVE APT 5",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908033019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 S FREMONT AVE BLDG 5A",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918038800",
"telephone_number": "626-407-0747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERVELLON",
"first_name": "LAUREN",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-04",
"last_updated": "2022-01-07",
"certification_date": "2022-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "CA",
"license": "0-17-8250",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-21-57133",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alhambra, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.