Wellformed AI

NPI 1114753043 · live from the CMS NPI Registry

Kelsi Jeffries, BCBA

Behavior Analyst in Oviedo, FL. National Provider Identifier 1114753043, active.

NPI record

NPI1114753043 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location1310 Oviedo Mall Blvd, Oviedo, FL 32765
Practice phone605-271-2690
Mailing address1105 W Russell St, Sioux Falls, SD 57104
EnumeratedSeptember 9, 2024
Last updatedOctober 2, 2026
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Technician106S00000XRBT-24-376182 (FL)
Behavior Analyst primary103K00000X1-26-2856920 (FL)

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