Provider Demographics
NPI:1164779260
Name:TURNER, LAURI M (MA, BCBA)
Entity Type:Individual
Prefix:
First Name:LAURI
Middle Name:M
Last Name:TURNER
Suffix:
Gender:F
Credentials:MA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1508 W GARDEN ST
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32502-4509
Mailing Address - Country:US
Mailing Address - Phone:850-483-1508
Mailing Address - Fax:251-986-3124
Practice Address - Street 1:1508 W GARDEN ST
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32502-4509
Practice Address - Country:US
Practice Address - Phone:850-483-1508
Practice Address - Fax:251-986-3124
Is Sole Proprietor?:No
Enumeration Date:2012-08-07
Last Update Date:2012-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1-12-11927103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst