Wellformed AI

NPI 1720640063 · live from the CMS NPI Registry

Elizabeth Haley Bischoff, MEd, BCBA, LBA

Behavior Analyst in Jeffersonville, IN. National Provider Identifier 1720640063, active.

NPI record

NPI1720640063 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location355 Quartermaster Ct, Jeffersonville, IN 47130
Practice phone812-258-9802
Mailing address3500 Depauw Blvd Ste 3070, Indianapolis, IN 46268
EnumeratedJuly 8, 2019
Last updatedOctober 13, 2022
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst103K00000X1-19-34709 (IN)
Behavior Analyst primary103K00000X251324 (KY)

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