Provider Demographics
NPI:1215541198
Name:LUFT, LOREN ELIZABETH (BCBA, LBS)
Entity Type:Individual
Prefix:
First Name:LOREN
Middle Name:ELIZABETH
Last Name:LUFT
Suffix:
Gender:F
Credentials:BCBA, LBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1675 MONTPELIER AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15216-1912
Mailing Address - Country:US
Mailing Address - Phone:412-607-4545
Mailing Address - Fax:
Practice Address - Street 1:1675 MONTPELIER AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15216-1912
Practice Address - Country:US
Practice Address - Phone:412-607-4545
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-08
Last Update Date:2020-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA1118019103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst