National Provider Identifier

Bailee Evans

Bailee Evans is listed in the NPPES registry with a primary specialty of Behavior Technician in Fairport, NY and a listed phone number of (585) 377-6590.

NPI 1669010252Fairport, NYBehavior Technician

Profile Overview

NPI
1669010252
Provider Type
Individual
Primary Specialty
Behavior Technician
Enumeration Date
December 15, 2019
Last Updated
December 15, 2019

Practice Location

  • 6 N Main St Ste 110
  • Fairport, NY 14450-1581

Phone: (585) 377-6590

Mailing Address

  • 21600 Oxnard St
  • Woodland Hills, CA 91367-4976

Specialties

  • Behavior Technician (106S00000X)
Full Record
NPI
1669010252
Entity Type
Individual
Last Name
Evans
First Name
Bailee
Mailing Street Address
21600 Oxnard St
Mailing City
Woodland Hills
Mailing State
CA
Mailing ZIP Code
91367-4976
Mailing Country
US
Mailing Phone
(818) 345-2345
Practice Street Address
6 N Main St Ste 110
Practice City
Fairport
Practice State
NY
Practice ZIP Code
14450-1581
Practice Country
US
Practice Phone
(585) 377-6590
Enumeration Date
December 15, 2019
Last Updated
December 15, 2019
Sex
Female
Sole Proprietor
No
Certification Date
December 15, 2019
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Behavior Technician (106S00000X)