Wellformed AI

NPI 1073359857 · live from the CMS NPI Registry

Abode Aba

Behavior Analyst in Charlotte, NC. National Provider Identifier 1073359857, active.

NPI record

NPI1073359857 Type 2 · organization
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location301 S Mcdowell St Ste 125-1027, Charlotte, NC 28204
Practice phone980-288-5692
EnumeratedJuly 2, 2024
Last updatedMarch 26, 2025
Authorized officialSam Dickstein, Principle

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X—

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