Wellformed AI

NPI 1316693369 · live from the CMS NPI Registry

Elisabeth Diane Avila-Quiebras, M.S., BCBA, LBA

Behavior Analyst in Litchfield Park, AZ. National Provider Identifier 1316693369, active.

NPI record

NPI1316693369 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location5220 N Dysart Rd Bldg C, Litchfield Park, AZ 85340
Practice phone623-244-9179
Mailing address3500 Depauw Blvd Ste 3070, Indianapolis, IN 46268
EnumeratedMarch 1, 2022
Last updatedMarch 31, 2022
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000XBEH-000717 (AZ)

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