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Individual
LAUREN SERVELLON
Active
Individual
LAUREN SERVELLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-57133
CA
106E00000X
Assistant Behavior Analyst
0-17-8250
CA
Other
Enumeration date
04/04/2018
Last updated
01/07/2022
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