Wellformed AI

NPI 1194389502 · live from the CMS NPI Registry

Stacy-Anne Creencia Abuel, BCBA

Behavior Analyst in Santa Clarita, CA. National Provider Identifier 1194389502, active.

NPI record

NPI1194389502 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location23502 Lyons Ave Ste 304a, Santa Clarita, CA 91321
Practice phone661-702-0166
Mailing address4540 Harlin Dr, Sacramento, CA 95826
EnumeratedMay 1, 2019
Last updatedJanuary 7, 2026
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X1-22-58102 (CA)
Behavior Technician106S00000X—

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