NPIMap

Organization Active NPI

Lake Effect Applied Behavior Analysis PLLC

  • Behavior Analyst
  • Salamanca, NY
National Provider Identifier
1376346403
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
LAKE EFFECT APPLIED BEHAVIOR ANALYSIS PLLC
Practice address
4195 Route 219 TRLR 39
Salamanca, NY 14779-9603
Phone
(716) 249-1310
Fax
(716) 828-8266
NPI assigned
Apr 1, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Authorized official

Name
Catherine McClureNPI 1265724918
Title
Owner
Phone
(617) 899-8613

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

4195 Route 219 TRLR 39
Salamanca, NY 14779-9603

Mailing address

4195 Route 219 TRLR 39
Salamanca, NY 14779-9603

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1743465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1376346403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4195 ROUTE 219 TRLR 39",
            "city": "SALAMANCA",
            "state": "NY",
            "postal_code": "147799603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4195 ROUTE 219 TRLR 39",
            "city": "SALAMANCA",
            "state": "NY",
            "postal_code": "147799603",
            "telephone_number": "716-249-1310",
            "fax_number": "716-828-8266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE EFFECT APPLIED BEHAVIOR ANALYSIS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-01",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A",
        "authorized_official_last_name": "MCCLURE",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-899-8613"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salamanca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; 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.