Lacey Anderson, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

11312885 Issued in UT

Practice address

4058 W Shady Plum Way
South Jordan, UT 84095-3908

Phone

(801) 735-3252

NPI assigned

Feb 4, 2014

Last updated

Feb 4, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Parenting Possibilities

  dba Autism Solutions

  • Behavior Analyst
  • South Jordan, UT
  • NPI 1447694831
  NPD (past) Authorized official

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

{
    "created_epoch": "1391472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391472000000",
    "number": "1609290154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4058 W SHADY PLUM WAY",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840953908",
            "telephone_number": "801-735-3252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4058 W SHADY PLUM WAY",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840953908",
            "telephone_number": "801-735-3252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "LACEY",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-04",
        "last_updated": "2014-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "UT",
            "license": "11312885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271872788003",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• America's Best Contasts & Eyeglasses
• J Brinton Andersen, DC
• Douglas M Anderson, D.D.S., M.S.
• Juliana Anderson, MS, CCC-SLP
• Kaitlyn Fay Anderson
• Susannah Anderson
• Virginia Carolyn Williams Anderson, ACMHC
• Barett D Andreasen, DDS
• Jacob R Andreason
• Andrew Robinson D O LLC

• Behavior Analyst in South Jordan, UT
• Providers in South Jordan, UT by specialty
• Behavior Analyst in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.

Verify at the official NPI Registry.