Wellformed AI

NPI 1083432066 · live from the CMS NPI Registry

Samson Asher Mettler, BCBA

Behavior Analyst in Sioux Falls, SD. National Provider Identifier 1083432066, active.

NPI record

NPI1083432066 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location1507 E 69th St, Sioux Falls, SD 57108
Practice phone605-906-2758
Mailing address7101 Man Cave, Sioux Falls, SD 57108
EnumeratedSeptember 30, 2024
Last updatedSeptember 30, 2024
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X125-ABA (SD)

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