Wellformed AI

NPI 1043905029 · live from the CMS NPI Registry

Nicole Brennan, MA, BCBA

Behavior Analyst in Schenectady, NY. National Provider Identifier 1043905029, active.

NPI record

NPI1043905029 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location2 Ledge Dr Apt 205, Schenectady, NY 12309
Practice phone516-428-0880
EnumeratedApril 6, 2023
Last updatedMarch 14, 2024
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X12364316

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