Provider Demographics
NPI:1558900571
Name:LAWRENCE, YOSHA CHERI (MA, BCBA)
Entity Type:Individual
Prefix:
First Name:YOSHA
Middle Name:CHERI
Last Name:LAWRENCE
Suffix:
Gender:F
Credentials:MA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1273
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70602-1273
Mailing Address - Country:US
Mailing Address - Phone:337-376-0136
Mailing Address - Fax:337-376-5244
Practice Address - Street 1:127 WILLIAMSBURG ST BLDG E
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70605-5719
Practice Address - Country:US
Practice Address - Phone:337-376-0136
Practice Address - Fax:337-376-5244
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-23
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1-19-39522103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst