Wellformed AI

NPI 1295648657 · live from the CMS NPI Registry

1213 S Champion Ave LLC

Behavior Analyst in Columbus, OH. National Provider Identifier 1295648657, active.

NPI record

NPI1295648657 Type 2 · organization
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location350 E 1st Ave Ste 102, Columbus, OH 43201
Practice phone614-216-1388
Mailing address46 Knights Bridge Dr W, Pickerington, OH 43147
EnumeratedSeptember 25, 2026
Last updatedSeptember 25, 2026
Authorized officialAaron Davenport, Owner

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.