MEDICARE: MRS. LAUREN LYNN BARTH BCBA

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	1-26-90609	OH

General Provider Information

NPI Number	:	1346722634
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LAUREN LYNN BARTH BCBA

Provider Business Mailing Address
First Line	:	130 E WILSON BRIDGE RD STE 200
Second Line	:
City	:	WORTHINGTON
State	:	OH
Zip	:	43085-2391
Country	:	US
Telephone Number	:	614-681-1030
Fax Number	:

Provider Business Practice Location Address
First Line	:	130 E WILSON BRIDGE RD STE 200
Second Line	:
City	:	WORTHINGTON
State	:	OH
Zip	:	43085-2391
Country	:	US
Telephone Number	:	614-681-1030
Fax Number	:

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

Provider Enumeration Date	:	09/03/2018
Last Update Date	:	06/15/2026

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