Wellformed AI

NPI 1306110499 · live from the CMS NPI Registry

Terese P Dana, BC ABA

Behavior Analyst in Madison, NH. National Provider Identifier 1306110499, active.

NPI record

NPI1306110499 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location2069 Village Rd, Madison Elementary School, Madison, NH 03849
Practice phone603-367-4642
Mailing addressPo Box 434, Fryeburg, ME 04037
EnumeratedMarch 7, 2012
Last updatedNovember 25, 2013
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.