MEDICARE: MRS. LAUREN NEFF

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
1	103K00000X	Behavior Analyst	0134000134	VA

General Provider Information

NPI Number	:	1568826600
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LAUREN NEFF

Provider Business Mailing Address
First Line	:	1720 HARVEST BEND CT
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23464-6100
Country	:	US
Telephone Number	:	804-350-8098
Fax Number	:

Provider Business Practice Location Address
First Line	:	1720 HARVEST BEND CT
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23464-6100
Country	:	US
Telephone Number	:	804-350-8098
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/05/2016
Last Update Date	:	06/24/2016

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Directions to “ MRS. LAUREN NEFF ” Practice Location

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