NPI 1134521131 · live from the CMS NPI Registry
Laura Bailey
Behavior Analyst in Springfield, MO. National Provider Identifier 1134521131, active.
NPI record
| NPI | 1134521131 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 1613 W Elfindale St, Springfield, MO 65807 |
| Practice phone | 417-864-7921 |
| Mailing address | 1501 E Pythian St, Springfield, MO 65802 |
| Enumerated | September 22, 2014 |
| Last updated | September 22, 2014 |
| Sole proprietor | No |
| Other names | Laura Roesch |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 2014033311 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.