Wellformed AI

NPI 1164062139 · live from the CMS NPI Registry

Luis Abreu

Behavior Analyst in Los Angeles, CA. National Provider Identifier 1164062139, active.

NPI record

NPI1164062139 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location972 Marietta St, Los Angeles, CA 90023
Practice phone323-519-8531
Mailing address21600 Oxnard St, Woodland Hills, CA 91367
EnumeratedJanuary 8, 2020
Last updatedJanuary 8, 2020
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000Xy4401657 (CA)

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