Wellformed AI

NPI 1023447885 · live from the CMS NPI Registry

Andresa Desouza

Behavior Analyst in Omaha, NE. National Provider Identifier 1023447885, active.

NPI record

NPI1023447885 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location444 S 44th St, Omaha, NE 68131
Practice phone402-559-6408
Mailing address985450 Nebraska Medical Cneter, Omaha, NE 68198
EnumeratedNovember 2, 2013
Last updatedNovember 2, 2013
Sole proprietorNo

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.