Wellformed AI

NPI 1336741206 · live from the CMS NPI Registry

Laura Ackerman, BCBA

Behavior Analyst in Campbell, CA. National Provider Identifier 1336741206, active.

NPI record

NPI1336741206 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location131 Union Ave Unit B, Campbell, CA 95008
Practice phone650-722-1564
EnumeratedNovember 14, 2020
Last updatedNovember 14, 2020
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X1-15-20723

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