Provider Demographics
NPI:1003137860
Name:LODUCA, LORIANNE (MED, BCBA, LABA)
Entity Type:Individual
Prefix:
First Name:LORIANNE
Middle Name:
Last Name:LODUCA
Suffix:
Gender:F
Credentials:MED, BCBA, LABA
Other - Prefix:
Other - First Name:LORIANNE
Other - Middle Name:LODUCA
Other - Last Name:BAKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:14 PACELLA PARK DR
Mailing Address - Street 2:
Mailing Address - City:RANDOLPH
Mailing Address - State:MA
Mailing Address - Zip Code:02368
Mailing Address - Country:US
Mailing Address - Phone:978-597-2710
Mailing Address - Fax:
Practice Address - Street 1:119 DRUM HILL RD
Practice Address - Street 2:
Practice Address - City:CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01824-1505
Practice Address - Country:US
Practice Address - Phone:978-710-6837
Practice Address - Fax:978-710-6941
Is Sole Proprietor?:No
Enumeration Date:2010-06-16
Last Update Date:2018-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA042197449OtherTRICARE