Lauren Shanley, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-17-29108 Issued in CT

Practice address

91 Greenwood Ave
Bethel, CT 06801-2529

Phone

(860) 946-0362

NPI assigned

Dec 22, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lauren Bergh Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Naturalistic Learning Center LLC

  • Behavior Analyst
  • Danbury, CT
  • NPI 1588203822
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1513900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1588170757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 GREENWOOD AVE",
            "city": "BETHEL",
            "state": "CT",
            "postal_code": "068012529",
            "telephone_number": "860-946-0362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 GREENWOOD AVE",
            "city": "BETHEL",
            "state": "CT",
            "postal_code": "068012529",
            "telephone_number": "860-946-0362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANLEY",
        "first_name": "LAUREN",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-22",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CT",
            "license": "1-17-29108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "BERGH",
            "credential": "BCBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Barbara Hamilton Sarabia, RPT
• Scot L. Goldberg, D.C. LLC
• Denita Scott, M.S., B.C.B.A
• Seidell Health & Wellness LLC
• Laura Shahinian
• David Shapiro, M.D.
• Shkreli Psychotherapy, LLC
• Alexander Shvartsman, MA, LADC, CCDP
• Maria Tereza Shvartsman, MA, LADC, CCDP
• Riya Kaur Sidhu, LPC

• Behavior Analyst in Bethel, CT
• Providers in Bethel, CT by specialty
• Behavior Analyst in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; 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.