Provider Demographics
NPI:1629501523
Name:ANGUEIRA, LAUREN DANIELLE (BA)
Entity Type:Individual
Prefix:MS
First Name:LAUREN
Middle Name:DANIELLE
Last Name:ANGUEIRA
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9518 SW 146TH PL
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-1069
Mailing Address - Country:US
Mailing Address - Phone:305-773-8638
Mailing Address - Fax:
Practice Address - Street 1:9518 SW 146TH PL
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-1069
Practice Address - Country:US
Practice Address - Phone:305-773-8638
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-06
Last Update Date:2017-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst