Provider Demographics
NPI:1073285169
Name:HORBAL, LAUREN ANNE (BCBA, LBA)
Entity Type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:ANNE
Last Name:HORBAL
Suffix:
Gender:F
Credentials:BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8391 OLD COURTHOUSE RD STE 120
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-3819
Mailing Address - Country:US
Mailing Address - Phone:703-429-1853
Mailing Address - Fax:571-665-5761
Practice Address - Street 1:8391 OLD COURTHOUSE RD STE 120
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22182-3819
Practice Address - Country:US
Practice Address - Phone:703-429-1853
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-28
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1-21-49188103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst