Wellformed AI

NPI 1225575772 · live from the CMS NPI Registry

Leisa Ann Bausch

Behavior Analyst in Tulsa, OK. National Provider Identifier 1225575772, active.

NPI record

NPI1225575772 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location11740 E 21st, Tulsa, OK 74129
Practice phone918-437-9495
Mailing address1202 N Willow Dr, Unit A, Claremore, OK 74017
EnumeratedJanuary 23, 2017
Last updatedJanuary 23, 2017
Sole proprietorNo
Other namesLeisa Railey

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.