Audra R Lubiak, MS.ED., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-23-69396 Issued in PA

Practice address

1010 N Hancock St
Philadelphia, PA 19123-2334

Phone

(267) 807-0550

NPI assigned

Oct 31, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1639886724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 BUCKEYE LN",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193826125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 N HANCOCK ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191232334",
            "telephone_number": "267-807-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUBIAK",
        "first_name": "AUDRA",
        "middle_name": "R",
        "credential": "MS.ED., BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-31",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "1-23-69396",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryanne Jude Lubas, DO
• Kierstin Luber
• Marilyn Luber, PH.D.
• Anthony Luberti, MD
• Nicholas Luberto
• Daniel Lubin, MD
• Isabel Rachel Lubin
• Gregory M Lubiniecki, MD
• Andrea Lubitz, M.D.
• Pamela Lubker, PT

• Behavior Analyst in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Behavior Analyst in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; 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.