MEDICARE: LAUREN A HOWE

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

General Provider Information

NPI Number	:	1255807301
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN A HOWE

Provider Business Mailing Address
First Line	:	1077 RICKENBACKER ST
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95128-3462
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1077 RICKENBACKER ST
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95128-3462
Country	:	US
Telephone Number	:	408-903-3739
Fax Number	:

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

Provider Enumeration Date	:	10/16/2018
Last Update Date	:	10/16/2018

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Directions to “ LAUREN A HOWE ” Practice Location

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