Provider Demographics
NPI:1740712991
Name:TURNER, LAUREN (BCBA)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:TURNER
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 1:357 VAN NESS WAY
Mailing Address - Street 2:SUITE 90
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90501-1483
Mailing Address - Country:US
Mailing Address - Phone:310-787-9334
Mailing Address - Fax:310-787-8626
Practice Address - Street 1:357 VAN NESS WAY
Practice Address - Street 2:SUITE 90
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90501-1483
Practice Address - Country:US
Practice Address - Phone:310-787-9334
Practice Address - Fax:310-787-8626
Is Sole Proprietor?:No
Enumeration Date:2017-03-28
Last Update Date:2017-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-16-24113103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst