Individual
LAUREN MAIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1285 E MONTCLAIR ST, SPRINGFIELD, MO 65804-4255
(417) 200-2322
Mailing address
1285 E MONTCLAIR ST, SPRINGFIELD, MO 65804-4255
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
00457
KS
103K00000X
Behavior Analyst
Primary
2021034203
MO
Other
Enumeration date
09/19/2021
Last updated
05/07/2026
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