Individual
LAUREN CRUM KLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA, LBA
Contact information
Practice address
2266 S DOBSON RD, MESA, AZ 85202-6488
(602) 856-1957
Mailing address
2266 S DOBSON RD, MESA, AZ 85202-6488
(602) 856-1957
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BEH-000413
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-18-31695
BCBA CERTIFICATE
—
Enumeration date
02/01/2018
Last updated
09/22/2023
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