Wellformed AI

NPI 1003779018 · live from the CMS NPI Registry

Macy Bertrand, M.A., BCBA, LBA

Behavior Analyst in Lake Charles, LA. National Provider Identifier 1003779018, active.

NPI record

NPI1003779018 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location4066 Ryan St, Lake Charles, LA 70605
Practice phone337-491-0800
EnumeratedDecember 5, 2025
Last updatedJuly 28, 2026
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000XL-1079 (LA)

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