Wellformed AI

NPI 1124686076 · live from the CMS NPI Registry

Southcentral Foundation

Behavior Analyst in Anchorage, AK. National Provider Identifier 1124686076, active.

NPI record

NPI1124686076 Type 2 · organization
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location4441 Diplomacy Dr, Anchorage, AK 99508
Practice phone907-729-4955
Mailing addressPo Box 35198, Seattle, WA 98124
EnumeratedJune 4, 2019
Last updatedAugust 31, 2023
Authorized officialRonald Olson, Executive Vice President Finance
Other namesBh- Behavior Analyst Group

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.