Wellformed AI

NPI 1003362583 · live from the CMS NPI Registry

Tammy Serena Adams, FSP

Behavior Analyst in Talihina, OK. National Provider Identifier 1003362583, active.

NPI record

NPI1003362583 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location903 Dallas Street, Talihina, OK 74571
Practice phone918-567-3293
Mailing address4065 Se 220th Rd, Talihina, OK 74571
EnumeratedAugust 25, 2016
Last updatedAugust 25, 2016
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X— (OK)

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