Wellformed AI

NPI 1396156444 · live from the CMS NPI Registry

Rebecca Antonellis

Behavior Analyst in Southborough, MA. National Provider Identifier 1396156444, active.

NPI record

NPI1396156444 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location33 Turnpike Rd, Southborough, MA 01772
Practice phone508-481-1015
EnumeratedMay 12, 2014
Last updatedMay 5, 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.