Basic Information
| Provider Information | |||||||||
| NPI: | 1235779950 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MEANS | ||||||||
| FirstName: | LORI | ||||||||
| MiddleName: | CARALINE | ||||||||
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| Credential: | M.ED., BCBA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 708 MEADOW DR | ||||||||
| Address2: | |||||||||
| City: | CORSICANA | ||||||||
| State: | TX | ||||||||
| PostalCode: | 751101111 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9032576288 | ||||||||
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| Practice Location | |||||||||
| Address1: | 152 BRAND RD. | ||||||||
| Address2: | |||||||||
| City: | MURPHY | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750943735 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8557827822 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/10/2020 | ||||||||
| LastUpdateDate: | 02/02/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 01/27/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 106S00000X | RBT-18-50111 | TX | N | 103K00000X | 1-21-53683 | Y | Behavioral Health & Social Service Providers | Behavioral Analyst |
No ID Information.