Provider Demographics
NPI:1699019273
Name:DOOLEY, LAUREN BRIELLE (BCBA)
Entity Type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:BRIELLE
Last Name:DOOLEY
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:BRIELLE
Other - Last Name:KARP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:500 TRAIL DUST DR
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-6986
Mailing Address - Country:US
Mailing Address - Phone:512-963-6336
Mailing Address - Fax:
Practice Address - Street 1:13584 POND SPRINGS RD
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78729-4413
Practice Address - Country:US
Practice Address - Phone:512-963-6336
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-20
Last Update Date:2012-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1-12-12056103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst