Individual provider Active NPI

Elizabeth Anne McCollum-Lord, BCBA, LBA

  • Behavior Analyst
  • Metairie, LA
National Provider Identifier
1952803835
Registry record updated Mar 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
L-274 Issued in LA
Practice address
1515 Demosthenes St
Metairie, LA 70005-2701
Phone
(504) 885-4327
NPI assigned
Mar 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2018

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-274 LA Primary

Addresses

Primary practice location

1515 Demosthenes St
Metairie, LA 70005-2701

Mailing address

1515 Demosthenes St
Metairie, LA 70005-2701
Phone (504) 885-4327

Other identifiers 1

IdentifierTypeStateIssuer
BACB335690OtherBEHAVIOR ANALYST CERTIFICATION BOARD

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-274LAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Within Reach - Center for Autism, Inc. 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": "1520294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520294400000",
    "number": "1952803835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 DEMOSTHENES ST",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700052701",
            "telephone_number": "504-885-4327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 DEMOSTHENES ST",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700052701",
            "telephone_number": "504-885-4327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOLLUM-LORD",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "credential": "BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-06",
        "last_updated": "2018-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "LA",
            "license": "L-274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD",
            "identifier": "BACB335690",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.