Provider Demographics
NPI:1376150433
Name:REINHART, LAUREN ELAINE
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:ELAINE
Last Name:REINHART
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5118 CALLE REAL UNIT B
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93111-1811
Mailing Address - Country:US
Mailing Address - Phone:949-545-8910
Mailing Address - Fax:
Practice Address - Street 1:5118 CALLE REAL UNIT B
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93111-1811
Practice Address - Country:US
Practice Address - Phone:949-545-8910
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-23
Last Update Date:2020-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty