Wellformed AI

NPI 1053129510 · live from the CMS NPI Registry

Taylor Beard

Behavior Analyst in Indianapolis, IN. National Provider Identifier 1053129510, active.

NPI record

NPI1053129510 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location201 N Illinois St Fl 16, Indianapolis, IN 46204
Practice phone317-732-8380
Mailing address2390 Wedgewood Dr Unit 6250, Akron, OH 44312
EnumeratedDecember 30, 2024
Last updatedSeptember 18, 2026
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Technician106S00000XRBT-22-220007 (IN)
Behavior Analyst primary103K00000X1-26-90425

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