Wellformed AI

NPI 1053660209 · live from the CMS NPI Registry

Achievable Behavior Strategies

Behavior Analyst in Las Vegas, NV. National Provider Identifier 1053660209, active.

NPI record

NPI1053660209 Type 2 · organization
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location9167 W Flamingo Rd, Las Vegas, NV 89147
Practice phone702-565-1894
EnumeratedSeptember 4, 2012
Last updatedAugust 22, 2018
Authorized officialJustin Kyriannis, President

Taxonomies and licenses

TaxonomyCodeLicense
Community/Behavioral Health251S00000XMHC 279 (HI)
Behavior Analyst primary103K00000X1-02-0938 (NV)

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