Wellformed AI

NPI 1255985586 · live from the CMS NPI Registry

Eliza Anderson

Behavior Analyst in Houlton, ME. National Provider Identifier 1255985586, active.

NPI record

NPI1255985586 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location39 Court St Ste 202, Houlton, ME 04730
Practice phone207-267-5855
Mailing address2486 Us Route 2, Smyrna Mills, ME 04780
EnumeratedJuly 25, 2019
Last updatedJuly 25, 2019
Sole proprietorYes

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.