Provider Demographics
NPI:1487178133
Name:WEINER, LAUREN (MS, BCBA)
Entity Type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:
Last Name:WEINER
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:
Other - Last Name:SWANSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:220 DRUMMERS LN
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:PA
Mailing Address - Zip Code:19087-1533
Mailing Address - Country:US
Mailing Address - Phone:483-614-4734
Mailing Address - Fax:
Practice Address - Street 1:1001 W 9TH AVE STE BANDC
Practice Address - Street 2:
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406-1209
Practice Address - Country:US
Practice Address - Phone:610-831-1865
Practice Address - Fax:877-891-3208
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-02
Last Update Date:2019-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst