Healthcare Provider Details

I. General information

NPI: 1861232993
Provider Name (Legal Business Name): HALEY MARIE LAUTENSCHLAGER BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HALEY MARIE ALEXANDER BCBA

II. Dates (important events)

Enumeration Date: 05/28/2024
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1599 TOWNSHIP LINE RD
PLAINFIELD IN
46168-7517
US

IV. Provider business mailing address

1599 TOWNSHIP LINE RD
PLAINFIELD IN
46168-7517
US

V. Phone/Fax

Practice location:
  • Phone: 317-914-3176
  • Fax: 844-742-8592
Mailing address:
  • Phone: 765-318-6639
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: