Wellformed AI

NPI 1336748177 · live from the CMS NPI Registry

Carrington Taylor Kissner

Behavior Analyst in Tampa, FL. National Provider Identifier 1336748177, active.

NPI record

NPI1336748177 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location8610 Hidden River Pkwy Ste 200, Tampa, FL 33637
Practice phone813-481-9662
Mailing address7220 W 41st St, Sioux Falls, SD 57106
EnumeratedOctober 22, 2020
Last updatedJuly 28, 2025
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X1-25-82905

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