Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst |
NPI | 1003308578 |
---|---|
Provider Name | Lauren Beeley |
First Address | Silver Spring, MD 20910-5676 |
Second Address | Silver Spring, MD 20910 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2018 |
Last Update Date | 24/07/2018 |