Most Relevant Information
Provider Data
| NPI Number: | 1003313644 |
| Provider Name: | LAUREN NICOLE FAIRAND MA, BCBA |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: | 407 |
Most Important Dates
| Enumeration Date: | 04/10/2018 |
| Last Updated: | 03/11/2024 |
Provider Practice Location
854 N MOUNT JULIET RD
MT JULIET
TN
371224430
Practice Location Phone/Fax
| Phone: | 8553240885 |
| Fax: | 3175208200 |
Provider Mailing Location
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS
IN
462686135
Provider Mailing Phone/Fax
| Phone: | 8553240885 |
| Fax: | 3175208200 |