Wellformed AI

NPI 1033944269 · live from the CMS NPI Registry

Taylor Green

Behavior Analyst in Marion, IA. National Provider Identifier 1033944269, active.

NPI record

NPI1033944269 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location3297 Armar Dr, Marion, IA 52302
Practice phone574-387-4313
Mailing address215 Red Coach Dr, Mishawaka, IN 46545
EnumeratedSeptember 6, 2024
Last updatedSeptember 6, 2024
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X12473826 (IA)

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