Healthcare Provider Details

I. General information

NPI: 1861327579
Provider Name (Legal Business Name): LAUREN CHADWICK BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 BELLOWS RD
RAYNHAM MA
02767-1453
US

IV. Provider business mailing address

82 EAST ST UNIT 1
MANSFIELD MA
02048-2537
US

V. Phone/Fax

Practice location:
  • Phone: 774-202-9206
  • Fax:
Mailing address:
  • Phone: 417-693-8549
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-26-89186
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: