Active NPI
Lauren Gardner
- Behavior Analyst
- Virginia Beach, VA
National Provider Identifier
1447661541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-14-15269
- Practice address
- 3965 Aeries Way
Virginia Beach, VA 23455-1558 - Phone
- (757) 409-7619
- NPI assigned
- May 12, 2014
- Last updated
- Nov 1, 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 | 1-14-15269 | VA | Primary |
Addresses
Primary practice location
3965 Aeries Way
Virginia Beach, VA 23455-1558
Mailing address
3965 Aeries Way
Virginia Beach, VA 23455-1558
Phone (757) 409-7619
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": "1399852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572566400000",
"number": "1447661541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3965 AERIES WAY",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234551558",
"telephone_number": "757-409-7619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3965 AERIES WAY",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234551558",
"telephone_number": "757-409-7619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDNER",
"first_name": "LAUREN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-12",
"last_updated": "2019-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "VA",
"license": "1-14-15269",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.