Individual
LAUREN FRIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1002 WOODLAND PLAZA RUN, FORT WAYNE, IN 46825-1528
(847) 907-0231
Mailing address
3414 SAVANNAH CT, MISHAWAKA, IN 46545-9332
(847) 907-0231
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-57584
IN
103K00000X
Behavior Analyst
Primary
1-22-57584
OK
106S00000X
Behavior Technician
RBT-19-80387
KS
Other
Enumeration date
03/07/2019
Last updated
05/05/2026
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