Provider Demographics
NPI:1811142706
Name:SALDANA, LAURA L (BCBA)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:L
Last Name:SALDANA
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:LISA
Other - Last Name:SALDANA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:BCBA
Mailing Address - Street 1:12506 TERRA NOVA LN
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78727-5108
Mailing Address - Country:US
Mailing Address - Phone:956-453-0052
Mailing Address - Fax:
Practice Address - Street 1:1516 E PALM VALLEY BLVD
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-4619
Practice Address - Country:US
Practice Address - Phone:512-733-2800
Practice Address - Fax:512-310-5697
Is Sole Proprietor?:No
Enumeration Date:2008-11-19
Last Update Date:2012-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1-07-3278103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst