Wellformed AI

NPI 1023788015 · live from the CMS NPI Registry

Taylor Mckenzie Archibald

Behavior Analyst in Fort Gratiot, MI. National Provider Identifier 1023788015, active.

NPI record

NPI1023788015 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location3245 Keewahdin Rd, Fort Gratiot, MI 48059
Practice phone910-837-2345
Mailing address5039 Villa Linde Pkwy Ste 30, Flint, MI 48532
EnumeratedSeptember 20, 2021
Last updatedMarch 18, 2026
Sole proprietorYes
Other namesTaylor Washe

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X— (MI)

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