Individual
LAUREN CERISANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA, LBA
Contact information
Practice address
475 W 260 N, OREM, UT 84057-1970
(801) 221-9930
Mailing address
475 W 260 N, OREM, UT 84057-1970
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
14231396-2506
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396085718
—
UT
Enumeration date
07/09/2025
Last updated
07/09/2025
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