Wellformed AI

NPI 1346819828 · live from the CMS NPI Registry

Kolleen Maura Altenbach, MA, BCBA, COBA, LBA

Behavior Analyst in Apex, NC. National Provider Identifier 1346819828, active.

NPI record

NPI1346819828 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location2311 Energy Dr Bldg 9, Apex, NC 27502
Practice phone984-254-5635
Mailing address3500 Depauw Blvd Ste 3070, Indianapolis, IN 46268
EnumeratedJune 21, 2021
Last updatedOctober 29, 2025
Sole proprietorNo
Other namesKolleen Duffy

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst103K00000X296201 (KY)
Behavior Analyst primary103K00000X1324 (NC)
Behavior Analyst103K00000XCOBA.00714 (OH)
Behavior Analyst103K00000X1-20-43096

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