NPI 1497291496 · live from the CMS NPI Registry
Leeann Marie Berryman, MA, BCBA, LBA
Behavior Analyst in Bowling Green, KY. National Provider Identifier 1497291496, active.
NPI record
| NPI | 1497291496 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 2427 Russellville Rd, Bowling Green, KY 42101 |
| Practice phone | 270-936-7472 |
| Mailing address | 3500 Depauw Blvd Ste 3070, Indianapolis, IN 46268 |
| Enumerated | January 13, 2017 |
| Last updated | June 5, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — (KY) |
| Behavior Analyst | 103K00000X | 1397 (TN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.