Active NPI
Lauren Danielle Jaworski
- Behavior Analyst
- Bronx, NY
National Provider Identifier
1609445352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 12046284
- Practice address
- 1441 Edison Ave
Bronx, NY 10461-5930 - Phone
- (347) 885-9042
- NPI assigned
- Jun 17, 2021
- 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 | 12046284 | NY | Primary |
Addresses
Primary practice location
1441 Edison Ave
Bronx, NY 10461-5930
Mailing address
1441 Edison Ave
Bronx, NY 10461-5930
Phone (347) 885-9042
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 |
|---|---|---|---|
| 12046284 | NY | MD | Behavioral Analyst |
Networks
- Healthfirst Medicare Network H9678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623888000000",
"number": "1609445352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1441 EDISON AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104615930",
"telephone_number": "347-885-9042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1441 EDISON AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104615930",
"telephone_number": "347-885-9042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAWORSKI",
"first_name": "LAUREN",
"middle_name": "DANIELLE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-17",
"last_updated": "2021-06-17",
"certification_date": "2021-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NY",
"license": "12046284",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.