Lauren Elizabeth Broadwell, M.S., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-17-26666

Practice address

111 Mackenan Dr
Cary, NC 27511

Phone

(919) 371-2848

Fax

(919) 467-6777

NPI assigned

Jun 3, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Carolina Center for Autism Services, LLC

  • Behavior Analyst
  • Durham, NC
  • NPI 1912069303
  NPD (past)

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

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526947200000",
    "number": "1790133403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 MACKENAN DR",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275117903",
            "telephone_number": "919-371-2848",
            "fax_number": "919-467-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MACKENAN DR",
            "city": "CARY",
            "state": "NC",
            "postal_code": "27511",
            "telephone_number": "919-371-2848",
            "fax_number": "919-467-6777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4750 Collegiate Dr",
            "address_purpose": "LOCATION",
            "city": "Panama City",
            "state": "FL",
            "postal_code": "32405",
            "country_code": "US",
            "telephone_number": "850-770-2241",
            "fax_number": "850-770-2741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROADWELL",
        "first_name": "LAUREN",
        "middle_name": "ELIZABETH",
        "credential": "M.S., BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-03",
        "last_updated": "2018-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-17-26666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrianna C Britton
• Christa Brixey, RD, LDN
• Melanie Elaine Broadbridge, AA-C
• Broadview Psychological Services PLLC
• Ashley Broadwater, LCMHC-A
• Kelly Louise Broady
• Courtney Brocious, CCC-SLP
• Robert Christopher Brock, M.D.
• Michael Daniel Brockman, PHARMD
• Lauren K Broderick, MD

• Behavior Analyst in Cary, NC
• Providers in Cary, NC by specialty
• Behavior Analyst in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; 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.