Wellformed AI

NPI 1083267439 · live from the CMS NPI Registry

Jordan Ayers

Behavior Analyst in Lakewood, WA. National Provider Identifier 1083267439, active.

NPI record

NPI1083267439 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location6210 75th St W Ste B100, Lakewood, WA 98499
Practice phone253-345-5720
Mailing address21600 Oxnard St Ste 1800, Woodland Hills, CA 91367
EnumeratedJuly 24, 2019
Last updatedJuly 24, 2019
Sole proprietorNo

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.