Provider Demographics
NPI:1649561325
Name:LODES, NATALIE (BCBA)
Entity type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:
Last Name:LODES
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:MS
Other - First Name:NATALIE
Other - Middle Name:
Other - Last Name:LODES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:50 TORCHWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-2317
Mailing Address - Country:US
Mailing Address - Phone:954-290-3633
Mailing Address - Fax:954-475-0033
Practice Address - Street 1:50 TORCHWOOD AVE
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-2317
Practice Address - Country:US
Practice Address - Phone:954-290-3633
Practice Address - Fax:954-475-0033
Is Sole Proprietor?:No
Enumeration Date:2011-04-28
Last Update Date:2011-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst