Wellformed AI

NPI 1831587385 · live from the CMS NPI Registry

Leslie Allyn Birdwhistell, LCSW

Behavior Analyst in Bowling Green, KY. National Provider Identifier 1831587385, active.

NPI record

NPI1831587385 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location181 W Professional Park Ct, Suite 1, Bowling Green, KY 42104
Practice phone270-843-5300
Mailing address1321 Murfresboro Pike Ste 702, Nashville, TN 37217
EnumeratedJanuary 7, 2015
Last updatedSeptember 4, 2018
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X164384 (KY)
Social Worker, Clinical1041C0700X3979 (KY)

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