Provider Demographics
NPI:1346882487
Name:LAWLESS, ALEXIS ANDREA (BCABA, LABA, SLP)
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:ANDREA
Last Name:LAWLESS
Suffix:
Gender:F
Credentials:BCABA, LABA, SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:531 SANDUSKY AVE
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66101-2951
Mailing Address - Country:US
Mailing Address - Phone:915-422-7487
Mailing Address - Fax:
Practice Address - Street 1:10261 W 87TH ST STE 100
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66212-4668
Practice Address - Country:US
Practice Address - Phone:913-203-8398
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-10
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0039106E00000X
KS4176235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst