Wellformed AI

NPI 1114258431 · live from the CMS NPI Registry

Katie Baine

Behavior Analyst in Clarksville, TN. National Provider Identifier 1114258431, active.

NPI record

NPI1114258431 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location1856 Memorial Dr Ste B, Clarksville, TN 37043
Practice phone931-614-5271
Mailing address19 Sherwood Dr, Clarksville, TN 37043
EnumeratedJanuary 26, 2010
Last updatedMay 6, 2026
Sole proprietorNo

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.