Wellformed AI

NPI 1083067185 · live from the CMS NPI Registry

Amir Mehdi Ansari Ghaleh, M.S.

Behavior Analyst in Alexandria, VA. National Provider Identifier 1083067185, active.

NPI record

NPI1083067185 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location4154 Duke St, Alexandria, VA 22304
Practice phone202-221-5111
EnumeratedJuly 13, 2016
Last updatedOctober 6, 2026
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X1-21-47908 (CO)

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