Provider Demographics
NPI:1417301474
Name:CARTER, LAUREN (MED, BCBA, LABA)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:CARTER
Suffix:
Gender:F
Credentials:MED, BCBA, LABA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 HARVEST DR
Mailing Address - Street 2:UNIT 207
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845-6366
Mailing Address - Country:US
Mailing Address - Phone:978-423-5831
Mailing Address - Fax:
Practice Address - Street 1:1 HARVEST DR
Practice Address - Street 2:UNIT 207
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-6366
Practice Address - Country:US
Practice Address - Phone:978-423-5831
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-15
Last Update Date:2016-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst