Most Relevant Information
Provider Data
| NPI Number: | 1003581950 |
| Provider Name: | BALEIGH MOODY BCBA |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/12/2021 |
| Last Updated: | 08/15/2023 |
Provider Practice Location
1125 SCHILLING BLVD E STE 112
COLLIERVILLE
TN
380177078
Practice Location Phone/Fax
| Phone: | 9014245621 |
| Fax: | 3175208200 |
Provider Mailing Location
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS
IN
462686135
Provider Mailing Phone/Fax
| Phone: | 8553240885 |
| Fax: | 3175208200 |