Provider Demographics
NPI:1235858317
Name:JOCHIMSEN, LAUREN (010-BEHAVIORAL)
Entity Type:Individual
Prefix:MISS
First Name:LAUREN
Middle Name:
Last Name:JOCHIMSEN
Suffix:
Gender:F
Credentials:010-BEHAVIORAL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:916 DESERT OAK CT APT C
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89145-2474
Mailing Address - Country:US
Mailing Address - Phone:702-884-4843
Mailing Address - Fax:
Practice Address - Street 1:2295 E SAHARA AVE STE 103
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89104-4113
Practice Address - Country:US
Practice Address - Phone:323-839-6989
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-23
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst