CMS-1500 Box 24J / 33a • NPI
1528302585
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
103K00000X
Licensed & Credentialed Behavior Analyst
Box 32 Service Location & ZIP+4
600 E MICHIGAN AVE, PAW PAW, MI, 49079-1354
✓ 9-Digit EDI 837 ZIP+4 (49079-1354)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1528302585 (LAUREN CAVALLI, M.A., BCBA) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1528302585 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | LAUREN CAVALLI, M.A., BCBA |
| Plain-English Specialty | Licensed & Credentialed Behavior Analyst NUCC Code: 103K00000X (Behavior Analyst) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 600 E MICHIGAN AVE, PAW PAW, MI, 49079-1354 |
| Practice Telephone / Fax | Tel: (989) 702-2082 |
| Administrative Mailing Address | 3949 N RIVER RD, FREELAND, MI, 48623-8856 |
| Enumeration & Last Sync | Enumerated: 2012-11-15 | CMS Record Updated: 2018-10-29 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (103K00000X)
What Does Taxonomy Code 103K00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 103K00000X translates to:
"Licensed & Credentialed Behavior Analyst"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (LAUREN CAVALLI, M.A., BCBA)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
103TB0200X — Psychologist, Cognitive & BehavioralPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Cognitive & Behavioral | State: N/A | License: Verified | Primary: Secondary |
103K00000X — Behavior AnalystPlain English: Licensed & Credentialed Behavior Analyst | State: MI | License: 1-12-12347 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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