Individual
LAUREN ELIZABETH IMHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, BCABA
Contact information
Practice address
3464 S 4TH ST, TERRE HAUTE, IN 47802-4168
(812) 233-8882
Mailing address
1824 TOUBY PIKE STE B, KOKOMO, IN 46901-2573
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-40166
IN
106E00000X
Assistant Behavior Analyst
0-16-7238
IN
Other
Enumeration date
01/11/2017
Last updated
01/19/2020
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