NPI 1205243748 · live from the CMS NPI Registry
Leasa Androl, M.A. BCBA
Behavior Analyst in Freeland, MI. National Provider Identifier 1205243748, active.
NPI record
| NPI | 1205243748 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 3949 N River Rd, Freeland, MI 48623 |
| Practice phone | 989-702-2082 |
| Enumerated | July 16, 2014 |
| Last updated | January 15, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | 1-14-16719 (CO) |
| Behavior Analyst primary | 103K00000X | 7401000284 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.