Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106S00000X | Behavior Technician | RBT-18-60009 | TX |
NPI | 1003383852 |
---|---|
Provider Name | Lauren Morgan |
First Address | San Marcos, TX 78666-6681 |
Second Address | San Marcos, TX 78666-6681 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/10/2018 |
Last Update Date | 30/10/2018 |