Carlenne Lacosta, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-22-60843 Issued in CA

Practice address

3355 Mission Ave Ste 221
Oceanside, CA 92058-1328

Phone

(951) 813-4034

Fax

(951) 813-4035

NPI assigned

Jan 23, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Southern Indian Health Council

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Boulevard, CA
  • NPI 1902562416
  NPD
• Southern Indian Health Council

  • Health Service Clinic/Center
  • Campo, CA
  • NPI 1922090885
  NPD
• Southern Indian Health Council

  • Community/Behavioral Health Agency
  • Alpine, CA
  • NPI 1295491736
  NPD (past)

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

{
    "created_epoch": "1516665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660694400000",
    "number": "1609374826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26720 YNEZ CT",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925914659",
            "telephone_number": "951-813-4034",
            "fax_number": "951-813-4035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 MISSION AVE STE 221",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920581328",
            "telephone_number": "951-813-4034",
            "fax_number": "951-813-4035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACOSTA",
        "first_name": "CARLENNE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-23",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "CA",
            "license": "0-21-12673",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "RBT-16-17023",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-22-60843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly La Prade
• Alex La Valle, MS, ATC
• Larissa Jennifer Labs
• Labs2U
• Alicia Marie Lacey
• Debroah Star Ladermann, D.C.
• Caitlin Marie Lafferty, NP
• Vivika Laffiton
• Dimitri Lafond, CMT
• Lagda Professional Dental Corporation

• Behavior Analyst in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.