Individual
MRS. LAUREN MARIE CARLSON BURHANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2435 NOOSENECK HILL RD UNIT 5, COVENTRY, RI 02816-6840
(401) 474-0062
Mailing address
15 FAIRMONT ST, WEST WARWICK, RI 02893-4006
(860) 334-9525
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
11314206
MA
103K00000X
Behavior Analyst
Primary
LBA00379
RI
Other
Enumeration date
09/25/2009
Last updated
08/28/2023
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