Wellformed AI

NPI 1134410905 · live from the CMS NPI Registry

Advanced Behavior Consultants

Behavior Analyst in Clarksville, TN. National Provider Identifier 1134410905, active.

NPI record

NPI1134410905 Type 2 · organization
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location3441 Fort Campbell Blvd Ste F3, Clarksville, TN 37042
Practice phone931-449-0063
EnumeratedApril 27, 2011
Last updatedAugust 18, 2023
Authorized officialAnne-Marie Harris, Practice Manager

Taxonomies and licenses

TaxonomyCodeLicense
Assistant Behavior Analyst106E00000X—
Behavior Technician106S00000X—
Behavior Analyst primary103K00000X—

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