Wellformed AI

NPI 1215582291 · live from the CMS NPI Registry

Lorraine Amanda Becerra, BCBA, PhD, LBA

Behavior Analyst in Columbia, MO. National Provider Identifier 1215582291, active.

NPI record

NPI1215582291 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location205 Portland St, Columbia, MO 65201
Practice phone573-884-4642
EnumeratedAugust 6, 2019
Last updatedAugust 6, 2019
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X95203282506 (UT)

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