Wellformed AI

NPI 1033502844 · live from the CMS NPI Registry

Nichole Antoine, BCBA, LBA

Behavior Analyst in Saint Louis, MO. National Provider Identifier 1033502844, active.

NPI record

NPI1033502844 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location3555 Sunset Office Dr Ste 101, Saint Louis, MO 63127
Practice phone314-834-8010
Mailing address8300 Jefferson St Ne Ste B, Albuquerque, NM 87113
EnumeratedMarch 18, 2015
Last updatedJanuary 20, 2025
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X2015006474 (MO)

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