Active NPI
Lauren Neubauer, BCBA, LBA
- Behavior Analyst
- Aberdeen, MD
National Provider Identifier
1558876227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- LBA443
- Practice address
- 4513 Philadelphia Rd
Aberdeen, MD 21001 - Phone
- (443) 412-5488
- NPI assigned
- Dec 4, 2017
- Reactivated
- Jun 14, 2018
- 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 | LBA443 | MD | Primary |
Addresses
Primary practice location
4513 Philadelphia Rd
Aberdeen, MD 21001
Mailing address
4513 Philadelphia Rd
Aberdeen, MD 21001-1501
Phone (443) 412-5488
Other practice location 1
1026 Cromwell Bridge Rd
Towson, MD 21286-3318
Phone (410) 583-1515
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103K00000X | Medicaid | MD |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LBA443 | MD | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ABA Solutions, LLC | Behavior Analyst | Past | Accepting new patients |
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.
-
- Behavior Analyst
- Upperco, MD
- NPI 1659886166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545177600000",
"number": "1558876227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4513 PHILADELPHIA RD",
"city": "ABERDEEN",
"state": "MD",
"postal_code": "210011501",
"telephone_number": "443-412-5488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4513 PHILADELPHIA RD",
"city": "ABERDEEN",
"state": "MD",
"postal_code": "21001",
"telephone_number": "443-412-5488"
}
],
"practiceLocations": [
{
"address_1": "1026 Cromwell Bridge Rd",
"address_purpose": "LOCATION",
"city": "Towson",
"state": "MD",
"postal_code": "212863318",
"country_code": "US",
"telephone_number": "410-583-1515",
"fax_number": "410-583-2480",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEUBAUER",
"first_name": "LAUREN",
"credential": "BCBA, LBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-04",
"last_updated": "2018-12-19",
"deactivation_date": "2018-06-05",
"reactivation_date": "2018-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MD",
"license": "LBA443",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103K00000X",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aberdeen, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.