Individual
LAURA T LAPEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. BCBA
Contact information
Practice address
5204 TREYBROOKE DR, WILMINGTON, NC 28409-2745
(910) 231-1909
Mailing address
5204 TREYBROOKE DR, WILMINGTON, NC 28409-2745
(910) 231-1909
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-04-1513
BCBA
—
01
—
WP9917
MEDICAID WAIVER PROVIDER OF BEHAVIOR SUPPORT
SC
Enumeration date
06/01/2009
Last updated
06/01/2009
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