Healthcare Provider Details

I. General information

NPI: 1184126591
Provider Name (Legal Business Name): LAUREL WRIGHT BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/01/2018
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10390 COLOMA RD
RANCHO CORDOVA CA
95670-2152
US

IV. Provider business mailing address

1900 MAYKIRK WAY
SACRAMENTO CA
95833-2677
US

V. Phone/Fax

Practice location:
  • Phone: 877-910-6538
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-26-90453
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: