Provider Demographics
NPI:1578369344
Name:WILLIAMS, LAUREN R (RBT)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:R
Last Name:WILLIAMS
Suffix:
Gender:
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:352 LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:DUNKIRK
Mailing Address - State:IN
Mailing Address - Zip Code:47336-1161
Mailing Address - Country:US
Mailing Address - Phone:317-742-2387
Mailing Address - Fax:
Practice Address - Street 1:2620 ACCUTECH WAY
Practice Address - Street 2:
Practice Address - City:MUNCIE
Practice Address - State:IN
Practice Address - Zip Code:47304-9462
Practice Address - Country:US
Practice Address - Phone:765-282-8222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-21
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN24329590106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician