Provider Demographics
NPI:1740935881
Name:LAWSON, DELEANA DAWN (BCBA, COBA)
Entity type:Individual
Prefix:
First Name:DELEANA
Middle Name:DAWN
Last Name:LAWSON
Suffix:
Gender:F
Credentials:BCBA, COBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 16303
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43216-6303
Mailing Address - Country:US
Mailing Address - Phone:937-474-5757
Mailing Address - Fax:
Practice Address - Street 1:1530 SAFFORD AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43223-1923
Practice Address - Country:US
Practice Address - Phone:937-474-5757
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-17
Last Update Date:2022-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOBA.00706103K00000X
OH1-20-42154103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst