Lauren Michelle Martino
Individual provider Active NPI Behavior Analyst · Nashville, TN
NPI 1578079547 · NPPES record last updated Nov 8, 2019
Key facts
- NPI
- 1578079547
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-17-28677 (PA)
- Practice address
- 73 White Bridge Rd Ste 103-232
Nashville, TN 37205 - Phone
- (615) 916-0664
- NPI assigned
- Dec 28, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Actual Behavior Change, LP | Behavior Analyst | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-17-28677 | PA | Yes |
Addresses
Primary practice location
73 White Bridge Rd Ste 103-232
Nashville, TN 37205
Mailing address
73 White Bridge Rd Ste 103-232
Nashville, TN 37205-1444
Phone (615) 916-0664
Other practice location 1
600 N Jackson St Ste 203
Media, PA 19063-2574
Phone (484) 653-7874
Other providers in Nashville, TN
- Stacia Day Martinez
- Stephen Martinez
- William Martinez
- Alexandra Martini
- Mary C Martini
- Megan Marie Martins
- Jeffrey Edward Martus
- Marvel Cosmetic Surgery, PLLC
- Heather A Marvin
- Susan Carol Marvin
All providers in Nashville, TN · Behavior Analyst in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.