Active NPI
Lauren Waddell
- Behavior Analyst
- Leesburg, VA
National Provider Identifier
1740691864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 801 Childrens Center Rd SW
Leesburg, VA 20175-2545 - Phone
- (703) 777-3485
- NPI assigned
- May 12, 2014
- 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 | Primary |
Addresses
Primary practice location
801 Childrens Center Rd SW
Leesburg, VA 20175-2545
Mailing address
903 Blue Leaf Court
Unit M
Frederick, MD 21701
Phone (571) 426-4203
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": "1399852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399852800000",
"number": "1740691864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "903 BLUE LEAF COURT",
"address_2": "UNIT M",
"city": "FREDERICK",
"state": "MD",
"postal_code": "21701",
"telephone_number": "571-426-4203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 CHILDRENS CENTER RD SW",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201752545",
"telephone_number": "703-777-3485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADDELL",
"first_name": "LAUREN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-12",
"last_updated": "2014-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leesburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.