Provider Demographics
NPI:1922646553
Name:BARROW, HALEY NOEL (BCBA)
Entity Type:Individual
Prefix:
First Name:HALEY
Middle Name:NOEL
Last Name:BARROW
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:HALEY
Other - Middle Name:NOEL
Other - Last Name:SEXTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BCBA
Mailing Address - Street 1:1501 W TAPP RD
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:IN
Mailing Address - Zip Code:47403-3459
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1501 W TAPP RD
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:IN
Practice Address - Zip Code:47403-3459
Practice Address - Country:US
Practice Address - Phone:812-330-4460
Practice Address - Fax:812-330-4461
Is Sole Proprietor?:No
Enumeration Date:2019-12-13
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN1-20-45681103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst