Lauren Cornwell
Behavior Technician in Fairfield, CA. Individual provider (NPI-1).
NPI number1164031191
StatusActive
Last updated in NPPESJul 27, 2020
Details
- NPI
- 1164031191
- Entity type
- Individual (NPI-1)
- Name
- Lauren Cornwell
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 27, 2020
- Certification date
- Jul 27, 2020
- Last updated
- Jul 27, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1652 W Texas StSuite 244
Fairfield, CA 94533-6066
Phone 303-989-8169
Mailing address
1652 W Texas StSuite 244
Fairfield, CA 94533-6066
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