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NPI Code Detail

MEDICARE: LAUREN SPONAUGLE

MEDICARE: LAUREN SPONAUGLE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior AnalystAL

General Provider Information

NPI Number : 1043173925
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN SPONAUGLE
Provider Business Mailing Address
First Line : 2400 CROSSBOW DR
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35214-1104
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1280 COLUMBIANA RD STE 150
Second Line :
City : VESTAVIA HILLS
State : AL
Zip : 35216-1604
Country : US
Telephone Number : 205-974-4519
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2025
Last Update Date : 12/08/2025

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Directions to “ LAUREN SPONAUGLE ” Practice Location

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