Active NPI
Elizabeth Laird, LCSW
- Behavior Analyst
- Granger, IN
National Provider Identifier
1568879054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 34000141A
- Practice address
- 15822 Homestead TRL
Granger, IN 46530-8628 - Phone
- (574) 850-2205
- NPI assigned
- Jul 16, 2014
- Last updated
- Jul 16, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | 34000141A | IN | Primary |
Addresses
Primary practice location
15822 Homestead TRL
Granger, IN 46530-8628
Mailing address
15822 Homestead TRL
Granger, IN 46530-8628
Phone (574) 850-2205
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 |
|---|---|---|---|
| 34000141A | IN | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405468800000",
"number": "1568879054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15822 HOMESTEAD TRL",
"city": "GRANGER",
"state": "IN",
"postal_code": "465308628",
"telephone_number": "574-850-2205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15822 HOMESTEAD TRL",
"city": "GRANGER",
"state": "IN",
"postal_code": "465308628",
"telephone_number": "574-850-2205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAIRD",
"first_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-16",
"last_updated": "2014-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IN",
"license": "34000141A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Granger, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.