Wellformed AI

NPI 1306420682 · live from the CMS NPI Registry

Audrey Abegglen, MA, BCBA

Behavior Analyst in Indianapolis, IN. National Provider Identifier 1306420682, active.

NPI record

NPI1306420682 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location8350 Craig St, Indianapolis, IN 46250
Practice phone317-578-0410
EnumeratedMay 12, 2021
Last updatedOctober 8, 2025
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X1-21-49800 (IN)

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