Wellformed AI

NPI 1396561924 · live from the CMS NPI Registry

Aba Bedrock Nc LLC

Behavior Analyst in Charlotte, NC. National Provider Identifier 1396561924, active.

NPI record

NPI1396561924 Type 2 · organization
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location525 N Tryon St Ste 1600, Charlotte, NC 28202
Practice phone347-461-0983
EnumeratedNovember 27, 2024
Last updatedNovember 27, 2024
Authorized officialMayer Kulefsky, Coo

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.