Latham, Lauren Marjorie

Latham, Lauren Marjorie is an individual health care provider with primary practice located at 9160 Forum Corporate Pkwy Ste 350 , Fort Myers FL 33905-7808. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Technologists, Technicians & Other Technical Service Providers / Technician, Other. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Latham, Lauren Marjorie can be contacted via phone (855) 832-6727.

Contact Information

Primary practice address
9160 Forum Corporate Pkwy Ste 350 Fort Myers FL 33905-7808
Phone: (855) 832-6727
Fax: (772) 675-9100
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X Florida
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X 247200000 Florida

Profile Details

NPI number 1336691146
LBN Legal business name Latham, Lauren Marjorie
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2016
Last updated Dec 13th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336691146 NPPES
Florida MEDICAID 019862300

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