Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 1-12-10067 |
NPI | 1013340207 |
---|---|
Provider Name | Lindsay Laubacher |
First Address | Keller, TX 76148 |
Second Address | Watauga, TX 76148-1202 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/08/2013 |
Last Update Date | 12/08/2013 |