Wellformed AI

NPI 1346911690 · live from the CMS NPI Registry

Josie Dierks, BCBA

Behavior Analyst in Mitchell, SD. National Provider Identifier 1346911690, active.

NPI record

NPI1346911690 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location1307 N Main St Ste A, Mitchell, SD 57301
Practice phone605-759-3126
EnumeratedSeptember 27, 2021
Last updatedSeptember 5, 2024
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X—

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