Wellformed AI

NPI 1104753706 · live from the CMS NPI Registry

Allrise Aba Nc Srv LLC

Behavior Analyst in Charlotte, NC. National Provider Identifier 1104753706, active.

NPI record

NPI1104753706 Type 2 · organization
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location1515 Mockingbird Ln Ste 420, Charlotte, NC 28209
Practice phone234-255-7473
EnumeratedMay 6, 2026
Last updatedMay 6, 2026
Authorized officialChava Odes, Director Of Operations

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.