Wellformed AI

NPI 1285553545 · live from the CMS NPI Registry

Krista Anthony

Behavior Analyst in Manassas, VA. National Provider Identifier 1285553545, active.

NPI record

NPI1285553545 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location8551 Rixlew Ln Ste 230, Manassas, VA 20109
Practice phone240-657-0364
Mailing address203 Hastings Dr, Fredericksburg, VA 22406
EnumeratedJuly 13, 2026
Last updatedJuly 13, 2026
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X0133004136 (VA)

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