Individual
LAUREN MCLOUGHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA
Contact information
Practice address
126 PAVILION PKWY, FAYETTEVILLE, GA 30214-4056
(770) 954-8988
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-36944
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-19-36944
BCBA CERTIFICATE
—
Enumeration date
03/06/2019
Last updated
10/02/2023
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