Individual provider · NPI-1
Lauren Alyson Bohannon, RBT
Assistant Behavior Analyst · San Antonio, TX
NPI number1891434593
StatusActive
Last updated in NPPESDec 9, 2022
Details
- NPI
- 1891434593
- Entity type
- Individual (NPI-1)
- Name
- Lauren Alyson Bohannon
- Credential
- RBT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 1, 2022
- Certification date
- Dec 9, 2022
- Last updated
- Dec 9, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106E00000X | Assistant Behavior Analyst | RBT-22-217988 | TX | Yes |
| 106S00000X | Behavior Technician | – | – |
Practice location
24200 Ih 10 W Ste 109San Antonio, TX 78257-1150
Phone 210-263-9443 · Fax 726-999-2625
Mailing address
14100 San Pedro Ave Ste 412San Antonio, TX 78232-2009
Phone 210-281-8669 · Fax 210-314-5044
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