Provider Demographics
NPI:1326271388
Name:FISCHER, LEIGHNA MARIE (MA, BCBA)
Entity Type:Individual
Prefix:MRS
First Name:LEIGHNA
Middle Name:MARIE
Last Name:FISCHER
Suffix:
Gender:F
Credentials:MA, BCBA
Other - Prefix:MS
Other - First Name:LEIGHNA
Other - Middle Name:MARIE
Other - Last Name:STAGGS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:506 W. DIVERSY PKWY APT #3
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614
Mailing Address - Country:US
Mailing Address - Phone:517-404-8235
Mailing Address - Fax:
Practice Address - Street 1:4553 W. WILSON AVE
Practice Address - Street 2:#3
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60625
Practice Address - Country:US
Practice Address - Phone:773-998-1353
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-25
Last Update Date:2015-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst