Individual
LAUREN QUINLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
912 S WASHINGTON ST, OWOSSO, MI 48867
(810) 599-2129
Mailing address
PO BOX 663, LAKELAND, MI 48143-0663
(810) 559-2129
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-27054
MI
106E00000X
Assistant Behavior Analyst
0-16-7360
MI
Other
Enumeration date
06/28/2016
Last updated
09/03/2019
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