Wellformed AI

NPI 1093560286 · live from the CMS NPI Registry

Alexandra Kozuma Beckman, BCBA

Behavior Analyst in Springfield, MO. National Provider Identifier 1093560286, active.

NPI record

NPI1093560286 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location1839-H E. Independence St., Po Box 14765, Springfield, MO 65814
Practice phone417-209-8575
EnumeratedApril 22, 2024
Last updatedApril 22, 2024
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X2020026695 (MO)

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