Provider Demographics
NPI:1417266966
Name:TOWNSEND, LAUREN E (BCBA)
Entity Type:Individual
Prefix:MS
First Name:LAUREN
Middle Name:E
Last Name:TOWNSEND
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:475 ELMCROFT BLVD
Mailing Address - Street 2:APT 9406
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-5672
Mailing Address - Country:US
Mailing Address - Phone:301-717-3753
Mailing Address - Fax:
Practice Address - Street 1:475 ELMCROFT BLVD
Practice Address - Street 2:APT 9406
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-5672
Practice Address - Country:US
Practice Address - Phone:301-717-3753
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-01
Last Update Date:2010-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD1-09-6413103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst