Individual
LAUREN PINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
620 N ROBINSON DR, ROBINSON, TX 76706-5312
(254) 732-2262
Mailing address
630 PARK PLACE DR, HEWITT, TX 76643-3208
(832) 693-3289
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-23808
TX
Other
Enumeration date
09/28/2016
Last updated
09/28/2016
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