Provider Demographics
NPI:1477228765
Name:DARR, LAUREL (RBT)
Entity Type:Individual
Prefix:
First Name:LAUREL
Middle Name:
Last Name:DARR
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1802 HEPHZIBAH MCBEAN RD
Mailing Address - Street 2:
Mailing Address - City:HEPHZIBAH
Mailing Address - State:GA
Mailing Address - Zip Code:30815-4305
Mailing Address - Country:US
Mailing Address - Phone:706-526-8786
Mailing Address - Fax:
Practice Address - Street 1:727 W 6TH ST
Practice Address - Street 2:
Practice Address - City:WAYNESBORO
Practice Address - State:GA
Practice Address - Zip Code:30830-4407
Practice Address - Country:US
Practice Address - Phone:706-871-8865
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-10
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician