Basic Information
| Provider Information | |||||||||
| NPI: | 1013340207 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LAUBACHER | ||||||||
| FirstName: | LINDSAY | ||||||||
| MiddleName: | |||||||||
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| Credential: | BCBA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7200 DENTON HIGHWAY | ||||||||
| Address2: | |||||||||
| City: | KELLER | ||||||||
| State: | TX | ||||||||
| PostalCode: | 76148 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8176913283 | ||||||||
| FaxNumber: | 8172492215 | ||||||||
| Practice Location | |||||||||
| Address1: | 7200 DENTON HWY | ||||||||
| Address2: | |||||||||
| City: | WATAUGA | ||||||||
| State: | TX | ||||||||
| PostalCode: | 761481202 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8176913283 | ||||||||
| FaxNumber: | 8172492215 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/12/2013 | ||||||||
| LastUpdateDate: | 08/12/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103K00000X | 1-12-10067 | Y | Behavioral Health & Social Service Providers | Behavioral Analyst |
No ID Information.