Laura Lee Lotthammer, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

098541 Issued in IA

Practice address

1250 SW State St Ste a
Ankeny, IA 50023-2555

Phone

(515) 220-1661

NPI assigned

Oct 29, 2019

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

• Laura Lee Korth Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Circle City ABA

  • Behavior Analyst
  • Lafayette, IN
  • NPI 1235676990
  NPD (past)

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

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1780228270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2785 CASON ST",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479042843",
            "telephone_number": "515-220-1661",
            "fax_number": "855-696-1392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 SW STATE ST STE A",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500232555",
            "telephone_number": "515-220-1661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOTTHAMMER",
        "first_name": "LAURA",
        "middle_name": "LEE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-29",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IA",
            "license": "098541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "KORTH",
            "middle_name": "LEE",
            "credential": "LAURA LEE WILCKE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Behavior Analyst in Ankeny, IA
• Providers in Ankeny, IA by specialty
• Behavior Analyst in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.