Provider Demographics
NPI:1407175540
Name:LAURA LAPEN MS BCBA
Entity Type:Organization
Organization Name:LAURA LAPEN MS BCBA
Other - Org Name:BOARD CERTIFIED BEHAVIOR ANALYST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BEHAVIOR ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:LAPEN
Authorized Official - Suffix:
Authorized Official - Credentials:MS BCBA
Authorized Official - Phone:910-231-1909
Mailing Address - Street 1:5204 TREYBROOKE DR.
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28409
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1221 E. JEFFERSON ST.
Practice Address - Street 2:
Practice Address - City:DILLON
Practice Address - State:SC
Practice Address - Zip Code:29536
Practice Address - Country:US
Practice Address - Phone:910-231-1909
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-28
Last Update Date:2010-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty