Wellformed AI

NPI 1164997920 · live from the CMS NPI Registry

Brittney D Rodriguez

Behavior Analyst in Gillette, WY. National Provider Identifier 1164997920, active.

NPI record

NPI1164997920 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location1300 W 4th St, Gillette, WY 82716
Practice phone888-924-2366
Mailing address5475 Knoll Pl, Highlands Ranch, CO 80130
EnumeratedOctober 9, 2018
Last updatedSeptember 16, 2026
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Counselor, Mental Health101YM0800X—
Behavior Analyst primary103K00000XLABA3985 (MA)

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