Provider Demographics
NPI:1316571409
Name:GALVAN, LORENA (BCBA)
Entity type:Individual
Prefix:
First Name:LORENA
Middle Name:
Last Name:GALVAN
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3045 NORTH COMMERCE PARKWAY
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:FL
Mailing Address - Zip Code:77598-4305
Mailing Address - Country:US
Mailing Address - Phone:832-240-4563
Mailing Address - Fax:832-912-4475
Practice Address - Street 1:12110 HUFFMEISTER ROAD
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429
Practice Address - Country:US
Practice Address - Phone:281-894-1423
Practice Address - Fax:832-912-4475
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19-5609-192832106S00000X
TX1-25-78893103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician