Wellformed AI

NPI 1346823077 · live from the CMS NPI Registry

Jenna L Becker, BCBA, LBA

Behavior Analyst in Saint Louis, MO. National Provider Identifier 1346823077, active.

NPI record

NPI1346823077 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location12110 Clayton Rd, Saint Louis, MO 63131
Practice phone314-989-8150
EnumeratedApril 30, 2021
Last updatedApril 30, 2021
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X2021011908 (MO)

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