Laura Bailey
Individual provider Active NPI Behavior Analyst · Springfield, MO
NPI 1134521131 · NPPES record last updated Sep 22, 2014
Key facts
- NPI
- 1134521131
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 2014033311 (MO)
- Practice address
- 1613 W Elfindale St
Springfield, MO 65807-1287 - Phone
- (417) 864-7921
- NPI assigned
- Sep 22, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2014033311 | MO | MD | Behavioral Analyst |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 2014033311 | MO | Yes |
Addresses
Primary practice location
1613 W Elfindale St
Springfield, MO 65807-1287
Mailing address
1501 E Pythian St
Springfield, MO 65802-2139
Phone (417) 864-7921
Other names
- Laura Roesch
Other providers in Springfield, MO
- Diane P. Bailey
- Jamie M Bailey
- Janelle M Bailey
- Jason Bailey
- Kathryn Smith Bailey
- Lea Annette Bailey
- Sherry Bailey
- Louis D. Bailon
- Brittany K. Bain
- Whitney Dawn Bair
All providers in Springfield, MO · Behavior Analyst in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 22, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.