Wellformed AI

NPI 1124695176 · live from the CMS NPI Registry

Amy Baltensperger, RBT, LBA, BCBA

Behavior Analyst in Memphis, TN. National Provider Identifier 1124695176, active.

NPI record

NPI1124695176 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location6413 Quince Rd, Memphis, TN 38119
Practice phone901-690-5213
EnumeratedJune 8, 2021
Last updatedAugust 10, 2022
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Technician106S00000XRBT-21-169194 (TN)
Behavior Analyst primary103K00000X1011 (TN)

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