Healthcare Provider Details

I. General information

NPI: 1043157340
Provider Name (Legal Business Name): LAUREN HANNAH STEWART RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 TANGLEWOOD LN
BAY VILLAGE OH
44140-1130
US

IV. Provider business mailing address

524 E HUSTON ST
BARBERTON OH
44203-3112
US

V. Phone/Fax

Practice location:
  • Phone: 440-668-5342
  • Fax:
Mailing address:
  • Phone: 330-858-3138
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-22-234232
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: