| NPI | 1043559487 |
|---|---|
| Former Name | LAUREN MICHELLE HADDOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 0-12-5046) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1-13-14539) |
| Enumeration Date | 2013-02-05 |
| Last Update Date | 2021-05-28 |