Wellformed AI

NPI 1104777101 · live from the CMS NPI Registry

Kirsten Leigh Heynen, BCBA

Behavior Analyst in Sioux City, IA. National Provider Identifier 1104777101, active.

NPI record

NPI1104777101 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location4280 Sergeant Rd Ste 230, Sioux City, IA 51106
Practice phone515-207-5251
EnumeratedFebruary 5, 2026
Last updatedFebruary 5, 2026
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000XBA-01495 (IA)

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