Provider Demographics
NPI:1134679889
Name:CORCORAN, LAUREN JANE (BCBA, LABA)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:JANE
Last Name:CORCORAN
Suffix:
Gender:F
Credentials:BCBA, LABA
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:JANE
Other - Last Name:CONLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BCBA, LABA
Mailing Address - Street 1:185 LINCOLN ST STE 205
Mailing Address - Street 2:
Mailing Address - City:HINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02043-1741
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:185 LINCOLN ST STE 205
Practice Address - Street 2:
Practice Address - City:HINGHAM
Practice Address - State:MA
Practice Address - Zip Code:02043-1741
Practice Address - Country:US
Practice Address - Phone:781-749-3606
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-06
Last Update Date:2024-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst