Individual
LAUREN BROCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
11500 CRONRIDGE DR, SUITE 130, OWINGS MILLS, MD 21117-2261
(410) 517-1113
(410) 517-2113
Mailing address
11500 CRONRIDGE DR, SUITE 130, OWINGS MILLS, MD 21117-2261
(410) 517-1113
(410) 517-2113
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/16/2015
Last updated
01/31/2019
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