Wellformed AI

NPI 1346930351 · live from the CMS NPI Registry

Suzanna Autry

Behavior Analyst in Collierville, TN. National Provider Identifier 1346930351, active.

NPI record

NPI1346930351 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location202 W Poplar Ave, Collierville, TN 38017
Practice phone901-690-5213
Mailing address8889 Bristol Park Cir Apt 203, Bartlett, TN 38133
EnumeratedMay 11, 2023
Last updatedFebruary 25, 2026
Sole proprietorYes

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.