Laura Barnack

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

473681101 Issued in NY

Practice address

64 E Milnor Ave
Lackawanna, NY 14218-3506

Phone

(716) 812-1155

NPI assigned

Jun 26, 2012

Last updated

Jun 26, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340668800000",
    "number": "1376807230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 E MILNOR AVE",
            "city": "LACKAWANNA",
            "state": "NY",
            "postal_code": "142183506",
            "telephone_number": "716-812-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 E MILNOR AVE",
            "city": "LACKAWANNA",
            "state": "NY",
            "postal_code": "142183506",
            "telephone_number": "716-812-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNACK",
        "first_name": "LAURA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-26",
        "last_updated": "2012-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "473681101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Baker Victory Services
• Baker Victory Services
• Marie Bakowski, LCSW
• Lisa Balderman, LCSW
• Lydia Ballinger, PHD
• Felicia Jonee Barnes, LPN
• Ginat Barren, MSPT
• Karra Barrett
• Katie Lynn Bartlett
• Ellen Jones Bean, LMSW

• Early Intervention Provider Agency in Lackawanna, NY
• Providers in Lackawanna, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; 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.