Provider Demographics
NPI:1194534826
Name:LAWSON, KAITLIN W (MA, BCBA)
Entity type:Individual
Prefix:
First Name:KAITLIN
Middle Name:W
Last Name:LAWSON
Suffix:
Gender:F
Credentials:MA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1306 CANYON ST
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:79072-4740
Mailing Address - Country:US
Mailing Address - Phone:806-494-1331
Mailing Address - Fax:
Practice Address - Street 1:3309 101ST ST STE 100
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79423-4047
Practice Address - Country:US
Practice Address - Phone:806-810-3335
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-07
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1-24-78351103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst