Alexis Leach

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-16-24274

Practice address

2355 Fairview Ave N Ste 106
Roseville, MN 55113-2724

Phone

(888) 362-3970

NPI assigned

Apr 11, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1523404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523404800000",
    "number": "1659878015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1596 GESKE RD",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553182622",
            "telephone_number": "952-451-9247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 FAIRVIEW AVE N STE 106",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551132724",
            "telephone_number": "888-362-3970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEACH",
        "first_name": "ALEXIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-11",
        "last_updated": "2018-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-16-24274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Laroy, M.D.
• Jared Michael Larsen, D.C.
• Josh Larson
• Tristan Richard Lawson, M.D.
• Carlo R. Lazzaro, MD
• Kevin Leach, M.D.
• Chelsea Rae Lebo, RN
• Andrew D Lee, M.D.
• Cute Jesse Lee
• Elizabeth Mary Lee, M.D.

• Behavior Analyst in Roseville, MN
• Providers in Roseville, MN by specialty
• Behavior Analyst in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.