Wellformed AI

NPI 1245449388 · live from the CMS NPI Registry

Stephanie Burgess

Behavior Analyst in North Charleston, SC. National Provider Identifier 1245449388, active.

NPI record

NPI1245449388 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location3236 Landmark Dr, Suite 103, North Charleston, SC 29418
Practice phone843-608-6598
EnumeratedMay 22, 2007
Last updatedApril 3, 2017
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.