Latrece Lee

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

61 E 33Rd St
Paterson, NJ 07514-1303

Phone

(973) 914-3437

NPI assigned

Sep 21, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Latrece Autumn Hagans Other name

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": "1474416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474416000000",
    "number": "1780132597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 E 33RD ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075141303",
            "telephone_number": "973-914-3437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 E 33RD ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075141303",
            "telephone_number": "973-914-3437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "LATRECE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-21",
        "last_updated": "2016-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LATRECE",
            "last_name": "HAGANS",
            "middle_name": "AUTUMN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Zachary L Lazev, DO
• Fernando A Lazo, D.C
• LB Pharmacy Inc
• Ivette Lebron, REGISTERED DIETITIAN
• Gaeun Lee, D.M.D.
• Yeonseung Lee, M.D.
• Dorina Leibu, M.D.
• Alden Leifer, MD
• Lens Lab Optical Patterson Inc
• Konstantinos Leou, MD

• All providers in Paterson, NJ
• Behavior Analyst in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; 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.