Provider Demographics
NPI:1447702170
Name:FOX, LAUREN (MS, BCBA, LBA)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:FOX
Suffix:
Gender:F
Credentials:MS, BCBA, LBA
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:
Other - Last Name:BAHR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BA, BCABA
Mailing Address - Street 1:7999 CRESCENT PARK DR
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20155-1565
Mailing Address - Country:US
Mailing Address - Phone:703-881-2981
Mailing Address - Fax:
Practice Address - Street 1:8401 GOOD LUCK RD
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-2800
Practice Address - Country:US
Practice Address - Phone:301-658-7070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-28
Last Update Date:2023-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0-20-11026106E00000X
VA0133003236103K00000X
VARBT-15-10054106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician