Ridall, Lauren

Ridall, Lauren is an individual health care provider with primary practice located at 229 Laurel Rd , East Northport NY 11731-1118. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Ridall, Lauren can be contacted via phone (631) 659-3337.

Contact Information

Primary practice address
229 Laurel Rd East Northport NY 11731-1118
Phone: (631) 659-3337
Fax: (631) 659-3338
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-16-22105 New York

Profile Details

NPI number 1821451154
LBN Legal business name Ridall, Lauren
Credentials BCBA, LBA
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2016
Last updated Jun 29th, 2021 - about 3 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 1821451154 NPPES
New York Other 1821451154 MAIDEN NAME

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