Wellformed AI

NPI 1295691525 · live from the CMS NPI Registry

Jack Henry Fritz

Behavior Analyst in Johnston, IA. National Provider Identifier 1295691525, active.

NPI record

NPI1295691525 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location6029 Blackstone, Johnston, IA 50131
Practice phone515-598-7200
EnumeratedDecember 30, 2025
Last updatedDecember 30, 2025
Sole proprietorNo

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.