Active NPI
Lauren A Lanzon, BCBA, LISW-CP
- Behavior Analyst
- Pauline, SC
National Provider Identifier
1780169565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-18-32781
- Practice address
- 224 Thorncrest Dr
Pauline, SC 29374-1626 - Phone
- (864) 590-0458
- NPI assigned
- Sep 27, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- Chesnee, SC
- NPI 1285148056
NPD (past) BEHAVIOR ANALYST
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 |
|---|---|---|---|
| 13443 | SC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Behavioral Innovations, LLC | Behavior Analyst | Past | Accepting new patients |
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 13443 | SC | |
| Behavior Analyst | 103K00000X | 1-18-32781 | SC | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
224 Thorncrest Dr
Pauline, SC 29374-1626
Mailing address
35 Michell Dr
Taylors, SC 29687-5339
Phone (540) 892-6981
Other practice location 1
905 E Washington St
Greenville, SC 29601-3126
Phone (864) 301-1031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 20, 2021.
{
"created_epoch": "1538006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611100800000",
"number": "1780169565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 MICHELL DR",
"city": "TAYLORS",
"state": "SC",
"postal_code": "296875339",
"telephone_number": "540-892-6981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "224 THORNCREST DR",
"city": "PAULINE",
"state": "SC",
"postal_code": "293741626",
"telephone_number": "864-590-0458"
}
],
"practiceLocations": [
{
"address_1": "905 E Washington St",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "296013126",
"country_code": "US",
"telephone_number": "864-301-1031",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LANZON",
"first_name": "LAUREN",
"middle_name": "A",
"credential": "BCBA, LISW-CP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-27",
"last_updated": "2021-01-20",
"certification_date": "2021-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SC",
"license": "13443",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "SC",
"license": "1-18-32781",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pauline, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.