Wellformed AI

NPI 1265052831 · live from the CMS NPI Registry

Beyond The Individual

Behavior Analyst in Overland Park, KS. National Provider Identifier 1265052831, active.

NPI record

NPI1265052831 Type 2 · organization
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location10551 Barkley St Ste 205, Overland Park, KS 66212
Practice phone913-213-0676
Mailing addressPo Box 860063, Shawnee, KS 66286
EnumeratedApril 23, 2020
Last updatedMarch 27, 2026
Authorized officialKatrina Ostmeyer-Kountzman, Owner

Taxonomies and licenses

TaxonomyCodeLicense
Speech-Language Pathologist, 235Z00000X—
Counselor, Mental Health101YM0800X—
Psychologist103T00000X—
Behavior Analyst primary103K00000X—

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