Active NPI
Lauren Chan
- Behavior Technician
- Tampa, FL
National Provider Identifier
1679128151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 10150 Highland Manor Dr Ste 200
Tampa, FL 33610-9712 - Phone
- (863) 602-0698
- Fax
- (813) 354-2715
- NPI assigned
- Aug 2, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Assistant Behavior Analyst | 106E00000X | |||
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
10150 Highland Manor Dr Ste 200
Tampa, FL 33610-9712
Mailing address
PO Box 6553
Lakeland, FL 33807-6553
Phone (863) 602-0698
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564704000000",
"number": "1679128151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6553",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338076553",
"telephone_number": "863-602-0698",
"fax_number": "813-354-2715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10150 HIGHLAND MANOR DR STE 200",
"city": "TAMPA",
"state": "FL",
"postal_code": "336109712",
"telephone_number": "863-602-0698",
"fax_number": "813-354-2715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAN",
"first_name": "LAUREN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-02",
"last_updated": "2019-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.