Wellformed AI

NPI 1154133262 · live from the CMS NPI Registry

An Incredible Me Aba Nc LLC

Community/Behavioral Health in Chapel Hill, NC. National Provider Identifier 1154133262, active.

NPI record

NPI1154133262 Type 2 · organization
StatusActive
Primary specialtyCommunity/Behavioral Health 251S00000X
Practice location1506 E Franklin St, Chapel Hill, NC 27514
Practice phone919-335-4463
Mailing address33 Wood Ave S Ste 600, Iselin, NJ 08830
EnumeratedJanuary 24, 2025
Last updatedMarch 19, 2025
Authorized officialMoshe Krupenia, Ceo

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst103K00000X—
Behavior Technician106S00000X—
Community/Behavioral Health primary251S00000X—

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