Provider Demographics
NPI:1548570872
Name:HANDLEMAN, LAUREN (BCABA)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:HANDLEMAN
Suffix:
Gender:F
Credentials:BCABA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1075 EASTON AVENUE
Mailing Address - Street 2:TOWER 3, SUITE 3
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873
Mailing Address - Country:US
Mailing Address - Phone:732-221-3031
Mailing Address - Fax:
Practice Address - Street 1:1075 EASTON AVENUE
Practice Address - Street 2:TOWER 3, SUITE 3
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873
Practice Address - Country:US
Practice Address - Phone:732-221-3031
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-20
Last Update Date:2010-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst