NPI 1205290145 · live from the CMS NPI Registry
Bledsoe Professional Services
Behavior Analyst in Columbia, MO. National Provider Identifier 1205290145, active.
NPI record
| NPI | 1205290145 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 1506 Anthony St, Columbia, MO 65201 |
| Practice phone | 573-499-1362 |
| Enumerated | April 6, 2016 |
| Last updated | April 6, 2016 |
| Authorized official | Michelle Bledsoe, Behavior Analyst/Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 2013009323 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.