Individual provider Active NPI

Lauren Neubauer, BCBA, LBA

  • Behavior Analyst
  • Aberdeen, MD
National Provider Identifier
1558876227
Registry record updated Dec 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
LBA443 Issued in MD
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

Updated by the provider on Dec 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
103K00000XMedicaidMD

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

LicenseStateTypeSpecialty
LBA443MDMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.