Wellformed AI

NPI 1215200225 · live from the CMS NPI Registry

Lisa M Daniel-Way, MA, BCBA

Behavior Analyst in Clive, IA. National Provider Identifier 1215200225, active.

NPI record

NPI1215200225 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location15284 Rosewood Dr, Clive, IA 50325
Practice phone515-601-5336
EnumeratedFebruary 22, 2012
Last updatedMay 3, 2024
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X1-11-8318
Behavior Analyst103K00000X095922 (IA)
Behavior Analyst103K00000X1871 (CT)

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