Individual
LAUREN REBECCA ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
7070 GRELOT RD, APT. 322, MOBILE, AL 36695-2642
(334) 332-6207
(251) 649-1164
Mailing address
7070 GRELOT RD, APT. 322, MOBILE, AL 36695-2642
(334) 332-6207
(251) 649-1164
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-10-7914
AL
Other
Enumeration date
09/12/2011
Last updated
09/12/2011
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