MEDICARE: LAURYN ROWE

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	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1821930264
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURYN ROWE

Provider Business Mailing Address
First Line	:	13268 COPPERWIND LN
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92129-4663
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2372 MORSE AVE STE 583
Second Line	:
City	:	IRVINE
State	:	CA
Zip	:	92614-6234
Country	:	US
Telephone Number	:	800-689-8675
Fax Number	:

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

Provider Enumeration Date	:	04/06/2026
Last Update Date	:	04/06/2026

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Directions to “ LAURYN ROWE ” Practice Location

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