Active NPI
Lauren Connor
- Behavior Analyst
- San Diego, CA
National Provider Identifier
1578955613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-14-17148
- Practice address
- 2667 Camino del Rio S Ste 102
San Diego, CA 92108-3763 - Phone
- (619) 782-0700
- NPI assigned
- Feb 26, 2015
- 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 | 1-14-17148 | CA | Primary |
Addresses
Primary practice location
2667 Camino del Rio S Ste 102
San Diego, CA 92108-3763
Mailing address
16782 Von Karman Ave Ste 11
Irvine, CA 92606-2417
Phone (855) 223-7123
Other practice location 1
3731 6th Ave Ste 100
San Diego, CA 92103-4383
Phone (855) 223-7123
Other practice location 2
264 Landis Ave Ste 200
Chula Vista, CA 91910-2651
Phone (855) 223-7123
Other names 1
- Lauren Mitchell
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651708800000",
"number": "1578955613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16782 VON KARMAN AVE STE 11",
"city": "IRVINE",
"state": "CA",
"postal_code": "926062417",
"telephone_number": "855-223-7123",
"fax_number": "619-374-7134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2667 CAMINO DEL RIO S STE 102",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921083763",
"telephone_number": "619-782-0700"
}
],
"practiceLocations": [
{
"address_1": "3731 6th Ave Ste 100",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921034383",
"country_code": "US",
"telephone_number": "855-223-7123",
"fax_number": "619-374-7134",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "264 Landis Ave Ste 200",
"address_purpose": "LOCATION",
"city": "Chula Vista",
"state": "CA",
"postal_code": "919102651",
"country_code": "US",
"telephone_number": "855-223-7123",
"fax_number": "619-374-7134",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CONNOR",
"first_name": "LAUREN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-26",
"last_updated": "2022-05-05",
"certification_date": "2022-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-14-17148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAUREN",
"last_name": "MITCHELL",
"code": "1",
"type": "Former Name"
}
]
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.