Wellformed AI

NPI 1124922141 · live from the CMS NPI Registry

Jaylen Allen, M.S., BCBA, LBA

Behavior Analyst in Portsmouth, VA. National Provider Identifier 1124922141, active.

NPI record

NPI1124922141 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location3225 High St, Portsmouth, VA 23707
Practice phone757-276-7974
Mailing address27777 Inkster Rd Ste 100, Farmington Hills, MI 48334
EnumeratedOctober 5, 2026
Last updatedOctober 8, 2026
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X0133004232 (VA)

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