Individual
LAUREN FAVORS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
702C COMMERCE CT, PRATTVILLE, AL 36066-7502
(334) 350-3362
Mailing address
702C COMMERCE CT, PRATTVILLE, AL 36066-7502
(334) 350-3362
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RB-24-338303
AL
Other
Enumeration date
04/25/2024
Last updated
04/25/2024
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