Provider Demographics
NPI:1477830248
Name:WEAVER, LAUREN (MS, BCBA)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:WEAVER
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3841 GREEN HILLS VILLAGE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-2691
Mailing Address - Country:US
Mailing Address - Phone:615-322-6027
Mailing Address - Fax:615-936-2763
Practice Address - Street 1:1211 21ST AVE S
Practice Address - Street 2:STE. 110
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37212-2717
Practice Address - Country:US
Practice Address - Phone:615-322-6027
Practice Address - Fax:615-936-2763
Is Sole Proprietor?:No
Enumeration Date:2011-11-08
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst