Wellformed AI

NPI 1174022503 · live from the CMS NPI Registry

Brittany Basco, BCBA

Behavior Analyst in Charlotte, NC. National Provider Identifier 1174022503, active.

NPI record

NPI1174022503 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location125 Baldwin Ave, Charlotte, NC 28204
Practice phone980-423-1210
Mailing address733 Dante St, New Orleans, LA 70118
EnumeratedFebruary 12, 2018
Last updatedAugust 21, 2023
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Technician106S00000X—
Behavior Analyst primary103K00000X—

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