Provider Demographics
NPI:1215619127
Name:ROWLEY, DEIDRA LEIGH (BCBA, EDS, NASP)
Entity type:Individual
Prefix:MRS
First Name:DEIDRA
Middle Name:LEIGH
Last Name:ROWLEY
Suffix:
Gender:F
Credentials:BCBA, EDS, NASP
Other - Prefix:
Other - First Name:DEIDRA
Other - Middle Name:LEIGH
Other - Last Name:SCHNEIDER DEARMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:217 E WICHITA AVE
Mailing Address - Street 2:
Mailing Address - City:COLWICH
Mailing Address - State:KS
Mailing Address - Zip Code:67030-9799
Mailing Address - Country:US
Mailing Address - Phone:303-725-7875
Mailing Address - Fax:
Practice Address - Street 1:971 E WICHITA AVE
Practice Address - Street 2:
Practice Address - City:RUSSELL
Practice Address - State:KS
Practice Address - Zip Code:67665-2444
Practice Address - Country:US
Practice Address - Phone:785-377-4744
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-01
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS8533995954103TS0200X
KS103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool