Wellformed AI

NPI 1003241670 · live from the CMS NPI Registry

Autism Therapy Services

Behavior Analyst in Washington, UT. National Provider Identifier 1003241670, active.

NPI record

NPI1003241670 Type 2 · organization
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location3214 Broken Rock Way, Washington, UT 84780
Practice phone435-313-4571
EnumeratedSeptember 13, 2013
Last updatedSeptember 13, 2013
Authorized officialPaul Day, Owner

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.