Wellformed AI

NPI 1013270388 · live from the CMS NPI Registry

Shannon Koehler, BCBA

Behavior Analyst in Aberdeen, SD. National Provider Identifier 1013270388, active.

NPI record

NPI1013270388 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location14 S Main St, Suite 1e, Aberdeen, SD 57401
Practice phone605-225-1010
EnumeratedJune 20, 2012
Last updatedFebruary 22, 2017
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X1-13-12730 (FL)

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