Individual provider Active NPI

Lauren Upchurch, M.S., B.C.B.A.

  • Behavior Analyst
  • Plano, TX
National Provider Identifier
1881077154
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1506 Issued in TX
Practice address
1717 W Plano Pkwy
Plano, TX 75075-8618
Phone
(214) 618-7985
NPI assigned
Jul 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1506 TX Primary

Addresses

Primary practice location

1717 W Plano Pkwy
Plano, TX 75075-8618

Mailing address

1717 W Plano Pkwy
Plano, TX 75075-8618
Phone (214) 618-7985

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1506TXMDAnesthesiologist Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Concept Connections LTD Behavior Analyst CurrentSince Aug 16, 2020 Accepting new patients
Connect Behavioral Therapy Center, LLC Past Accepting new patients

Locations

1717 W Plano Pkwy
Plano, TX 75075
Phone (214) 385-5301

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1436140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1881077154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 W PLANO PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750758618",
            "telephone_number": "214-618-7985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 W PLANO PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750758618",
            "telephone_number": "214-618-7985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPCHURCH",
        "first_name": "LAUREN",
        "credential": "M.S., B.C.B.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-06",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; 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.