Wellformed AI

NPI 1316279664 · live from the CMS NPI Registry

Samiya Adem, BCBA, PharmD

Behavior Analyst in Saint Paul, MN. National Provider Identifier 1316279664, active.

NPI record

NPI1316279664 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location2233 University Ave W, Saint Paul, MN 55114
Practice phone205-199-4767
Mailing address2233 University Ave W Ste 150, Saint Paul, MN 55114
EnumeratedFebruary 10, 2010
Last updatedNovember 27, 2024
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Assistant Behavior Analyst106E00000XAB61477660 (WA)
Pharmacist183500000XPH60284830 (WA)
Behavior Analyst primary103K00000X1-24-77007

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