Nyla Claire Lamm, LCSW.ED.D BCBA-D LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

000849 Issued in NY

Practice address

4150 Aldrich LN
Laurel, NY 11948-1017

Phone

(631) 298-7195

Fax

(631) 298-7195

NPI assigned

May 28, 2008

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 10, 2016.

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478736000000",
    "number": "1548428451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 ALDRICH LN",
            "city": "LAUREL",
            "state": "NY",
            "postal_code": "119481017",
            "telephone_number": "631-298-7195",
            "fax_number": "631-298-7195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 ALDRICH LN",
            "city": "LAUREL",
            "state": "NY",
            "postal_code": "119481017",
            "telephone_number": "631-298-7195",
            "fax_number": "631-298-7195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMM",
        "first_name": "NYLA",
        "middle_name": "CLAIRE",
        "name_prefix": "Dr.",
        "credential": "LCSW.ED.D BCBA-D LBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-28",
        "last_updated": "2016-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "034492-1",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "000849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD",
            "identifier": "1-09-6594",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Constance Gonzalez, OTR/L
• Tara Lynn Kupecki, MS
• Lisa M Macaluso, M.A., BCBA
• Katelynn Moisa, M.S.
• Maureen Novak, L.P.N.
• Anne E O'Rourke
• Carla Marie Pellegrino, RPH

• All providers in Laurel, NY
• Behavior Analyst in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; 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.