Provider Demographics
NPI:1417248790
Name:HAMPTON, LAUREN HAZLEDINE (MED, BCBA)
Entity Type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:HAZLEDINE
Last Name:HAMPTON
Suffix:
Gender:F
Credentials:MED, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:658 HICKS RD
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37221-1516
Mailing Address - Country:US
Mailing Address - Phone:615-336-2766
Mailing Address - Fax:
Practice Address - Street 1:2702 GREYSTONE RD
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37204-2819
Practice Address - Country:US
Practice Address - Phone:615-385-7994
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-21
Last Update Date:2011-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1-10-7934103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst