Provider Demographics
NPI:1619643376
Name:NORRIS, LOURDES ELIZABETH (MS, BCBA)
Entity type:Individual
Prefix:MRS
First Name:LOURDES
Middle Name:ELIZABETH
Last Name:NORRIS
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:MS
Other - First Name:LOURDES
Other - Middle Name:ELIZABETH
Other - Last Name:ARREOLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:7108 S KANNER HWY
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34997-7462
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:675 NORTH EUCLID STREET
Practice Address - Street 2:SUITE 623
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-4639
Practice Address - Country:US
Practice Address - Phone:855-832-6727
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-20
Last Update Date:2025-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty