Wellformed AI

NPI 1023859394 · live from the CMS NPI Registry

Robin Andresen, BCBA, LBA

Behavior Analyst in Elkton, KY. National Provider Identifier 1023859394, active.

NPI record

NPI1023859394 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location155 Commerce St Apt F, Elkton, KY 42220
Practice phone912-771-6473
Mailing address3500 Depauw Blvd Ste 3070, Indianapolis, IN 46268
EnumeratedJune 3, 2024
Last updatedFebruary 18, 2026
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X2090 (TN)

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