Wellformed AI

NPI 1316372022 · live from the CMS NPI Registry

Lyn Marie Athanasopulos

Behavior Analyst in Medford, OR. National Provider Identifier 1316372022, active.

NPI record

NPI1316372022 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location510 W. 11th Street, Family Solutions, Medford, OR 97501
Practice phone541-776-0497
EnumeratedSeptember 12, 2013
Last updatedSeptember 12, 2013
Sole proprietorNo
Other namesLyn Allred

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.