Wellformed AI

NPI 1164068615 · live from the CMS NPI Registry

Megan Blackwell

Behavior Analyst in West Monroe, LA. National Provider Identifier 1164068615, active.

NPI record

NPI1164068615 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location107 Mcmillan Rd, West Monroe, LA 71291
Practice phone318-600-6640
Mailing address116 Hardwood Dr, West Monroe, LA 71291
EnumeratedNovember 20, 2019
Last updatedMay 13, 2026
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X—
Behavior Technician106S00000X—

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