Lucas McLeroth, BA PSYCHOLOGY

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1420 University Ave
Flint, MI 48504-6208

Phone

(810) 238-0475

NPI assigned

Jan 24, 2022

Last updated

Jan 24, 2022By the provider in NPPES

Sex

Male

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

Credentials

Bachelor of Arts

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

{
    "created_epoch": "1642982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1497407050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 CONVERSE DR",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484463342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 UNIVERSITY AVE",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485046208",
            "telephone_number": "810-238-0475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEROTH",
        "first_name": "LUCAS",
        "credential": "BA PSYCHOLOGY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-24",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth McLaughlin
• Michelle Denise McLaughlin
• Deja McLaurin
• Noriauna McLemore
• Shateonna McLemore
• Adria D McMartin, LMSW
• Heidi McMeekin, M.A., L.P.C., N.C.C.
• Kayla L.C. McMillian
• Amber Lynn McMillin
• Zina Monique McMullen

• Behavior Technician in Flint, MI
• Providers in Flint, MI by specialty
• Behavior Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; 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.