Wellformed AI

NPI 1235741570 · live from the CMS NPI Registry

Marianny Giselle Amezquita, M.Ed., BCBA

Behavior Analyst in Acworth, GA. National Provider Identifier 1235741570, active.

NPI record

NPI1235741570 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location4900 Ivey Rd Nw Ste 1626, Acworth, GA 30101
Practice phone470-531-0510
Mailing address300 International Pkwy Ste 200, Lake Mary, FL 32746
EnumeratedAugust 18, 2020
Last updatedJuly 11, 2025
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X—

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