Provider Demographics
NPI:1720744147
Name:LAWSON, ELENA LYNN (RBT)
Entity Type:Individual
Prefix:MRS
First Name:ELENA
Middle Name:LYNN
Last Name:LAWSON
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1307 BELLGROVE DR # A1
Mailing Address - Street 2:
Mailing Address - City:EL LAGO
Mailing Address - State:TX
Mailing Address - Zip Code:77586-6057
Mailing Address - Country:US
Mailing Address - Phone:832-580-6913
Mailing Address - Fax:
Practice Address - Street 1:1307 BELLGROVE DR # A1
Practice Address - Street 2:
Practice Address - City:EL LAGO
Practice Address - State:TX
Practice Address - Zip Code:77586-6057
Practice Address - Country:US
Practice Address - Phone:832-580-6913
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-10
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXRBT-21-181583103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst