Wellformed AI

NPI 1407326531 · live from the CMS NPI Registry

Achievements Early Intervention Services

Behavior Analyst in Lakewood, NJ. National Provider Identifier 1407326531, active.

NPI record

NPI1407326531 Type 2 · organization
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location85a Gladiola Ct, Lakewood, NJ 08701
Practice phone646-708-0620
EnumeratedDecember 2, 2018
Last updatedSeptember 23, 2020
Authorized officialYehuda Reichenberg, President

Taxonomies and licenses

TaxonomyCodeLicense
Community/Behavioral Health251S00000X—
Behavior Analyst primary103K00000X—

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