Individual
LAUREN ELIZABETH BROADWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., BCBA
Contact information
Practice address
111 MACKENAN DR, CARY, NC 27511
(919) 371-2848
(919) 467-6777
Mailing address
111 MACKENAN DR, CARY, NC 27511-7903
(919) 371-2848
(919) 467-6777
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-26666
—
Other
Enumeration date
06/03/2016
Last updated
05/22/2018
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