Wellformed AI

NPI 1194243493 · live from the CMS NPI Registry

Intithar Alissawi

Behavior Analyst in Westland, MI. National Provider Identifier 1194243493, active.

NPI record

NPI1194243493 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location32564 Warren Rd, Westland, MI 48185
Practice phone734-742-5638
EnumeratedSeptember 7, 2017
Last updatedSeptember 28, 2026
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst103K00000X7401001365 (MI)
Behavior Analyst primary103K00000XBEH-001998 (AZ)

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