Active NPI
Lacey T Hylton, BCBA, LBA
- Behavior Analyst
- Winnfield, LA
National Provider Identifier
1891430484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- L-612
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| L-612 | LA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Specialists of la | Behavior Analyst | Past | 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.