Provider Demographics
NPI:1841535804
Name:HABERMAS, LAUREN ANNE (BCBA)
Entity type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:ANNE
Last Name:HABERMAS
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:ANNE
Other - Last Name:SINNING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BCBA
Mailing Address - Street 1:12 ELM RD
Mailing Address - Street 2:
Mailing Address - City:POMPTON PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07444-1458
Mailing Address - Country:US
Mailing Address - Phone:973-879-9986
Mailing Address - Fax:201-331-6838
Practice Address - Street 1:12 ELM RD
Practice Address - Street 2:
Practice Address - City:POMPTON PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07444-1458
Practice Address - Country:US
Practice Address - Phone:973-879-9986
Practice Address - Fax:201-331-6838
Is Sole Proprietor?:No
Enumeration Date:2012-12-03
Last Update Date:2019-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ0-12-5180103K00000X
NJ1-17-27893103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst