Provider Demographics
NPI:1891299319
Name:LO, FIONA LAUREN (MS, BCBA)
Entity Type:Individual
Prefix:
First Name:FIONA
Middle Name:LAUREN
Last Name:LO
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 TOWN AND COUNTRY DR STE B-101
Mailing Address - Street 2:
Mailing Address - City:NORCO
Mailing Address - State:CA
Mailing Address - Zip Code:92860-3616
Mailing Address - Country:US
Mailing Address - Phone:951-889-8142
Mailing Address - Fax:
Practice Address - Street 1:2909 OREGON CT STE A1
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503-2693
Practice Address - Country:US
Practice Address - Phone:310-320-1333
Practice Address - Fax:310-320-6555
Is Sole Proprietor?:No
Enumeration Date:2018-03-20
Last Update Date:2022-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician