Individual provider Active NPI

Lane Baylard

  • Behavior Analyst
  • Roswell, GA
National Provider Identifier
1962318212
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
LBA003116 Issued in GA
Practice address
500 Sun Valley Dr Ste G1
Roswell, GA 30076-5639
Phone
(770) 609-8777
NPI assigned
Aug 19, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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 LBA003116 GA Primary

Addresses

Primary practice location

500 Sun Valley Dr Ste G1
Roswell, GA 30076-5639

Mailing address

4320 Old Oak Trce
Cumming, GA 30041-5688
Phone (678) 977-6851

Other practice location 1

2010 Montreal Rd
Tucker, GA 30084-5203
Phone (770) 609-8777

Other practice location 2

690 Village Trce NE Bldg 21
Marietta, GA 30067-1513
Phone (770) 609-8777

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

NPI Registry JSON

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

{
    "created_epoch": "1787097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1962318212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 OLD OAK TRCE",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300415688",
            "telephone_number": "678-977-6851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SUN VALLEY DR STE G1",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765639",
            "telephone_number": "770-609-8777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2010 Montreal Rd",
            "address_purpose": "LOCATION",
            "city": "Tucker",
            "state": "GA",
            "postal_code": "300845203",
            "country_code": "US",
            "telephone_number": "770-609-8777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "690 Village Trce NE Bldg 21",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300671513",
            "country_code": "US",
            "telephone_number": "770-609-8777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAYLARD",
        "first_name": "LANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-19",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "LBA003116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; 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.