Individual provider Active NPI

Lacey T Hylton, BCBA, LBA

  • Behavior Analyst
  • Winnfield, LA
National Provider Identifier
1891430484
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
L-612 Issued in LA
Practice address
1607 Maple St
Winnfield, LA 71483-3061
Phone
(318) 209-4033
Fax
(318) 209-4043
NPI assigned
Apr 28, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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 L-612 LA Primary

Addresses

Primary practice location

1607 Maple St
Winnfield, LA 71483-3061

Mailing address

1607 Maple St
Winnfield, LA 71483-3061
Phone (318) 209-4033

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

LicenseStateTypeSpecialty
L-612LAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Specialists of la Behavior Analyst PastSince May 1, 2022 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1651104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1891430484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 MAPLE ST",
            "city": "WINNFIELD",
            "state": "LA",
            "postal_code": "714833061",
            "telephone_number": "318-209-4033",
            "fax_number": "318-209-4043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 MAPLE ST",
            "city": "WINNFIELD",
            "state": "LA",
            "postal_code": "714833061",
            "telephone_number": "318-209-4033",
            "fax_number": "318-209-4043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYLTON",
        "first_name": "LACEY",
        "middle_name": "T",
        "credential": "BCBA, LBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-28",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "LA",
            "license": "L-612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winnfield, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; 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.