Wellformed AI

NPI 1093578262 · live from the CMS NPI Registry

Aba-La

Behavior Analyst in Granada Hills, CA. National Provider Identifier 1093578262, active.

NPI record

NPI1093578262 Type 2 · organization
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location12713 Tyson Pl, Granada Hills, CA 91344
Practice phone818-419-0666
EnumeratedJanuary 31, 2024
Last updatedJanuary 31, 2024
Authorized officialMaria Kakosimidi, Ceo

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.