Wellformed AI

NPI 1255975090 · live from the CMS NPI Registry

Khadijah J. Archangel, BCBA, LBA

Behavior Analyst in Baton Rouge, LA. National Provider Identifier 1255975090, active.

NPI record

NPI1255975090 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location9306 Perkins Rd, Baton Rouge, LA 70810
Practice phone225-257-9574
EnumeratedNovember 5, 2019
Last updatedSeptember 15, 2026
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X1-26-90745 (LA)

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