Individual
LAUREN RAE TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4602 LEE ST, LEWISBURG, OH 45338-8924
(937) 683-2603
Mailing address
748 MEADOW GLEN AVE, BROOKVILLE, OH 45309-1172
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/14/2023
Last updated
06/13/2025
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