Provider Demographics
NPI:1396454567
Name:HEATH, LAURA C (BCBA, LBA)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:C
Last Name:HEATH
Suffix:
Gender:F
Credentials:BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4551 JOHN TYLER HWY STE 201
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23185-2453
Mailing Address - Country:US
Mailing Address - Phone:757-936-2061
Mailing Address - Fax:757-697-2567
Practice Address - Street 1:4551 JOHN TYLER HWY STE 201
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23185-2453
Practice Address - Country:US
Practice Address - Phone:757-936-2061
Practice Address - Fax:757-697-2567
Is Sole Proprietor?:No
Enumeration Date:2022-11-16
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst