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NPI Code Detail

MEDICARE: LAUREN ELIZABETH HENDLEY

MEDICARE: LAUREN ELIZABETH HENDLEY
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
1103K00000XBehavior AnalystGA

General Provider Information

NPI Number : 1801759865
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN ELIZABETH HENDLEY
Provider Business Mailing Address
First Line : 201 E GORDON ST
Second Line :
City : VALDOSTA
State : GA
Zip : 31601-4552
Country : US
Telephone Number : 850-521-0242
Fax Number : 850-521-1973
Provider Business Practice Location Address
First Line : 201 E GORDON ST
Second Line :
City : VALDOSTA
State : GA
Zip : 31601-4552
Country : US
Telephone Number : 850-521-0242
Fax Number : 850-521-1973
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2025
Last Update Date : 12/06/2025

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Directions to “ LAUREN ELIZABETH HENDLEY ” Practice Location

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