Individual provider Active NPI

Lauren E Kamor, BS, RBT

  • Behavior Analyst
  • Wilkes Barre, PA
National Provider Identifier
1396415014
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BH006129 Issued in PA
Practice address
1086 Highway 315 Blvd
Wilkes Barre, PA 18702-7012
Phone
(570) 846-1025
Fax
(570) 904-8571
NPI assigned
Sep 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 572472 PA
Behavior Analyst 103K00000X BH006129 PA Primary

Addresses

Primary practice location

1086 Highway 315 Blvd
Wilkes Barre, PA 18702-7012

Mailing address

9 Banks Ave
McAdoo, PA 18237-2508
Phone (888) 726-4774

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
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
BH006129PAMDBehavioral Analyst
572472PAMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Mission Autism Clinics LLC Behavior Analyst PastSince Sep 1, 2021 Accepting new patients
NLS ABA Services LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1396415014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 BANKS AVE",
            "city": "MCADOO",
            "state": "PA",
            "postal_code": "182372508",
            "telephone_number": "888-726-4774",
            "fax_number": "570-362-5112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1086 HIGHWAY 315 BLVD",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187027012",
            "telephone_number": "570-846-1025",
            "fax_number": "570-904-8571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMOR",
        "first_name": "LAUREN",
        "middle_name": "E",
        "credential": "BS, RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-14",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "PA",
            "license": "572472",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH006129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkes Barre, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.