MEDICARE: LAUREN LOVE

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	:	1912731597
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN LOVE

Provider Business Mailing Address
First Line	:	15807 SEEKERS ST
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78255-3303
Country	:	US
Telephone Number	:	702-610-8421
Fax Number	:

Provider Business Practice Location Address
First Line	:	24200 W I-10 FRONTAGE ROAD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78257
Country	:	US
Telephone Number	:	210-263-9443
Fax Number	:

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

Provider Enumeration Date	:	08/27/2024
Last Update Date	:	04/08/2026

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Directions to “ LAUREN LOVE ” Practice Location

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