Wellformed AI

NPI 1013453539 · live from the CMS NPI Registry

Tiara Lakresha Alexander, BCBA

Behavior Analyst in Detroit, MI. National Provider Identifier 1013453539, active.

NPI record

NPI1013453539 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location3977 Hereford St, Detroit, MI 48224
Practice phone313-848-8018
EnumeratedJanuary 7, 2017
Last updatedJuly 8, 2024
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X7401000534 (MI)

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