Provider Demographics
NPI:1861864779
Name:LUBIN, LAUREN (BCABA)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:LUBIN
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 1:164 RANDOLPH AVE
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34606-6656
Mailing Address - Country:US
Mailing Address - Phone:517-410-5425
Mailing Address - Fax:
Practice Address - Street 1:306 BEVERLY CT
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34606-5326
Practice Address - Country:US
Practice Address - Phone:517-410-5425
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-30
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst
No247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other