Wellformed AI

NPI 1104530203 · live from the CMS NPI Registry

Kathryn Fitz

Behavior Analyst in Ankeny, IA. National Provider Identifier 1104530203, active.

NPI record

NPI1104530203 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location2325 Sw State St Ste D, Ankeny, IA 50023
Practice phone515-800-4019
EnumeratedJanuary 12, 2023
Last updatedMarch 24, 2025
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Technician106S00000XRBT-20-142887
Behavior Analyst primary103K00000XBA-01177 (IA)

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