Provider Demographics
NPI:1932928140
Name:WEBSTER, LORENZO ALEXANDER (MA, BCBA, LBA)
Entity type:Individual
Prefix:MR
First Name:LORENZO
Middle Name:ALEXANDER
Last Name:WEBSTER
Suffix:
Gender:M
Credentials:MA, BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4505 SANDHILL RD
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36830-2316
Mailing Address - Country:US
Mailing Address - Phone:334-332-9077
Mailing Address - Fax:334-539-1971
Practice Address - Street 1:4505 SANDHILL RD
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830-2316
Practice Address - Country:US
Practice Address - Phone:334-332-9077
Practice Address - Fax:334-539-1971
Is Sole Proprietor?:No
Enumeration Date:2024-10-04
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2024-122103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst