Wellformed AI

NPI 1306621743 · live from the CMS NPI Registry

Aba Endeavor Nc LLC

Behavior Analyst in Charlotte, NC. National Provider Identifier 1306621743, active.

NPI record

NPI1306621743 Type 2 · organization
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location537 W Sugar Creek Rd Ste 202, Charlotte, NC 28213
Practice phone704-385-7272
Mailing address7257 N Lincoln Ave, Lincolnwood, IL 60712
EnumeratedAugust 24, 2023
Last updatedAugust 25, 2023
Authorized officialJudah Kanowitz, Managing Partner

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Technician106S00000X—
Behavior Analyst primary103K00000X—

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