Wellformed AI

NPI 1144612862 · live from the CMS NPI Registry

Allison Moylan

Behavior Analyst in Charles Town, WV. National Provider Identifier 1144612862, active.

NPI record

NPI1144612862 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location46 Trifecta Pl, Suite 105, Charles Town, WV 25414
Practice phone304-725-4536
Mailing address294 Crosswinds Dr, Charles Town, WV 25414
EnumeratedMarch 4, 2015
Last updatedMarch 4, 2015
Sole proprietorYes

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.