Individual
LAUREN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
108 W WASHINGTON ST, WAYNETOWN, IN 47990-8022
(765) 326-1501
(765) 217-7151
Mailing address
PO BOX 162, WAYNETOWN, IN 47990-0162
(317) 318-4352
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/19/2018
Last updated
02/03/2025
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