Individual
MRS. LAUREN LULEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EDS, BCBA
Contact information
Practice address
4118 N CLINTON ST, FORT WAYNE, IN 46805-1210
(260) 267-0767
Mailing address
6716 VERANDAH LN, FORT WAYNE, IN 46835-9268
(260) 615-5430
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-33392
IN
Other
Enumeration date
04/17/2020
Last updated
06/09/2025
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