Provider Demographics
NPI:1326867011
Name:FOLEY, ANGELEISE (RBT)
Entity type:Individual
Prefix:
First Name:ANGELEISE
Middle Name:
Last Name:FOLEY
Suffix:
Gender:X
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1009 SE BROWNING AVE
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64081-2922
Mailing Address - Country:US
Mailing Address - Phone:816-301-4533
Mailing Address - Fax:
Practice Address - Street 1:1009 SE BROWNING AVE
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64081-2922
Practice Address - Country:US
Practice Address - Phone:816-301-4533
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-09
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician