Wellformed AI

NPI 1104300318 · live from the CMS NPI Registry

Zoey Margaret Back, MA, BCBA, LBA

Behavior Analyst in Omaha, NE. National Provider Identifier 1104300318, active.

NPI record

NPI1104300318 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location3424 S 138th St, Omaha, NE 68144
Practice phone442-320-4949
EnumeratedSeptember 24, 2018
Last updatedAugust 12, 2026
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X2117 (NE)

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