Provider Demographics
NPI:1609673359
Name:LAUGHTER, LORETTA ISABEL (RBT)
Entity type:Individual
Prefix:
First Name:LORETTA
Middle Name:ISABEL
Last Name:LAUGHTER
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Gender:
Credentials:RBT
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Mailing Address - Street 1:1880 OLD HIGHWAY 51 S STE F
Mailing Address - Street 2:1880 OLD HIGHWAY 51 S STE F
Mailing Address - City:BRIGHTON
Mailing Address - State:TN
Mailing Address - Zip Code:38011-8025
Mailing Address - Country:US
Mailing Address - Phone:901-290-3916
Mailing Address - Fax:901-347-3495
Practice Address - Street 1:1880 OLD HIGHWAY 51 SOUTH, SUITE F
Practice Address - Street 2:1880 OLD HIGHWAY 51 SOUTH, SUITE F
Practice Address - City:BRIGHTON
Practice Address - State:TN
Practice Address - Zip Code:38011
Practice Address - Country:US
Practice Address - Phone:901-290-3916
Practice Address - Fax:901-347-3495
Is Sole Proprietor?:No
Enumeration Date:2025-02-28
Last Update Date:2025-02-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TNRBT-24-402625106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician