NPI 1003336546 · live from the CMS NPI Registry
Lauren Renee Bean, BCBA
Behavior Analyst in Old Mill Creek, IL. National Provider Identifier 1003336546, active.
NPI record
| NPI | 1003336546 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 18550 W Millburn Rd, Old Mill Creek, IL 60083 |
| Practice phone | 847-916-7375 |
| Mailing address | 1321 Murfreesboro Pike Ste 702, Nashville, TN 37217 |
| Enumerated | June 26, 2017 |
| Last updated | June 19, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | 183-140 (WI) |
| Behavior Analyst primary | 103K00000X | 1-16-23630 |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.