Lori E Mastrogiacomo, M.A., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-00-0007 Issued in CT

Practice address

972 Post Rd
3Rd Floor
Darien, CT 06820-4525

Phone

(203) 883-8827

NPI assigned

Mar 21, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Gold Coast Children'S Center

  • Community/Behavioral Health Agency
  • Darien, CT
  • NPI 1700244266
  NPD (past)

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490054400000",
    "number": "1487185609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "972 POST RD",
            "address_2": "3RD FLOOR",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068204525",
            "telephone_number": "203-883-8827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "972 POST RD",
            "address_2": "3RD FLOOR",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068204525",
            "telephone_number": "203-883-8827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTROGIACOMO",
        "first_name": "LORI",
        "middle_name": "E",
        "credential": "M.A., BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-21",
        "last_updated": "2017-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CT",
            "license": "1-00-0007",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "000323",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Cambareri, LLC
• Ben U. Marsan, M.D.
• Robert Joseph Marsillo, D.C.
• Christina Martineau, PA
• Virginia Martinez, M.D.
• Sara Maria Mathews Dixon, LCSW
• Kristen Mattern, DPT
• Holly Matura, FDN-P
• Dennis John McAllister, LCSW
• Brian P McKay, DC

• Behavior Analyst in Darien, CT
• Providers in Darien, CT by specialty
• Behavior Analyst in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; 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.