Healthcare Provider Details

I. General information

NPI: 1174448344
Provider Name (Legal Business Name): LAUREN MARIE SALINAS BA. MA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11425 MOORPARK ST
STUDIO CITY CA
91602-2009
US

IV. Provider business mailing address

5178 CASPAR AVE
LOS ANGELES CA
90041-1220
US

V. Phone/Fax

Practice location:
  • Phone: 805-403-9905
  • Fax:
Mailing address:
  • Phone: 805-403-9905
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-21-51592
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: