Provider Demographics
NPI:1629866702
Name:HENSHAW, LAUREN (BCBA)
Entity type:Individual
Prefix:MS
First Name:LAUREN
Middle Name:
Last Name:HENSHAW
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:316 WINDING WAY
Mailing Address - Street 2:
Mailing Address - City:HAMMONTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08037-2209
Mailing Address - Country:US
Mailing Address - Phone:609-665-8947
Mailing Address - Fax:
Practice Address - Street 1:316 WINDING WAY
Practice Address - Street 2:
Practice Address - City:HAMMONTON
Practice Address - State:NJ
Practice Address - Zip Code:08037-2209
Practice Address - Country:US
Practice Address - Phone:609-665-8947
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1-24-71234103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst