Provider Demographics
NPI:1861232993
Name:LAUTENSCHLAGER, HALEY MARIE (BCBA)
Entity type:Individual
Prefix:
First Name:HALEY
Middle Name:MARIE
Last Name:LAUTENSCHLAGER
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:HALEY
Other - Middle Name:MARIE
Other - Last Name:ALEXANDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BCBA
Mailing Address - Street 1:1227 BLUFF RD
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:46168-9352
Mailing Address - Country:US
Mailing Address - Phone:765-318-6639
Mailing Address - Fax:
Practice Address - Street 1:321 E NORTHFIELD DR
Practice Address - Street 2:
Practice Address - City:BROWNSBURG
Practice Address - State:IN
Practice Address - Zip Code:46112-2420
Practice Address - Country:US
Practice Address - Phone:317-699-4281
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-28
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst