Provider Demographics
NPI:1982970653
Name:LANIER, LAUREN LESA (BCBA-D, LBA-TX)
Entity type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:LESA
Last Name:LANIER
Suffix:
Gender:F
Credentials:BCBA-D, LBA-TX
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 WILCREST DR STE 300
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-2754
Mailing Address - Country:US
Mailing Address - Phone:713-203-0362
Mailing Address - Fax:
Practice Address - Street 1:12246 QUEENSTON BLVD STE G
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095-5355
Practice Address - Country:US
Practice Address - Phone:713-203-0362
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-28
Last Update Date:2022-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2351103K00000X
CTBA.001153103K00000X
TX1-11-9595103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst