Individual provider Active NPI

Lisa Anne Daniels, BCBA

  • Behavior Analyst
  • Norwell, MA
National Provider Identifier
1538674486
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
80 Washington St Ste P55
Norwell, MA 02061-1742
Phone
(781) 290-3886
NPI assigned
Dec 13, 2017
Last updated
Dec 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

80 Washington St Ste P55
Norwell, MA 02061-1742

Mailing address

1 Krisroy Dr
Rockland, MA 02370-3347

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Ldaniels@provenaba.com Direct

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

Practice roles

OrganizationSpecialtyStatusNew patients
Proven Behavior Solutions, LLC Single Specialty Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ldaniels@provenaba.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1513123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1538674486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 KRISROY DR",
            "city": "ROCKLAND",
            "state": "MA",
            "postal_code": "023703347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 WASHINGTON ST STE P55",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611742",
            "telephone_number": "781-290-3886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "LISA",
        "middle_name": "ANNE",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-13",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ldaniels@provenaba.com",
            "affiliation": "N",
            "endpointDescription": "Privacy protected work email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "80 Washington St Ste P55",
            "city": "Norwell",
            "state": "MA",
            "country_code": "US",
            "postal_code": "020611742",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Norwell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.

Verify at the official NPI Registry.