Provider Demographics
NPI:1023772134
Name:POOLE, LAUREN DEBLANC (BCBA, LBA)
Entity type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:DEBLANC
Last Name:POOLE
Suffix:
Gender:F
Credentials:BCBA, LBA
Other - Prefix:MISS
Other - First Name:LAUREN
Other - Middle Name:ELISABETH
Other - Last Name:DEBLANC
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BCBA, LBA
Mailing Address - Street 1:7500 SAN FELIPE ST STE 990
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-1708
Mailing Address - Country:US
Mailing Address - Phone:281-826-3382
Mailing Address - Fax:
Practice Address - Street 1:2424 VILLAGE DR
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78521-1480
Practice Address - Country:US
Practice Address - Phone:956-431-0056
Practice Address - Fax:832-553-7287
Is Sole Proprietor?:No
Enumeration Date:2021-10-25
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAL-579103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst