Provider Demographics
NPI:1235782897
Name:HAGGARD, LAUREN HALEY (BCBA)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:HALEY
Last Name:HAGGARD
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1332 PASSENGER ST APT 130
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37408-1469
Mailing Address - Country:US
Mailing Address - Phone:205-382-2680
Mailing Address - Fax:
Practice Address - Street 1:1101 CARTER ST
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37402-5017
Practice Address - Country:US
Practice Address - Phone:423-490-7710
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-22
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1007103K00000X
AL2020-084103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1-20-42561OtherBCBA CERTIFICATION
AL2020-084OtherSTATE LICENSE
TN1007OtherSTATE LICENSE