Wellformed AI

NPI 1407347016 · live from the CMS NPI Registry

Davis Bench, BCBA

Behavior Analyst in Orem, UT. National Provider Identifier 1407347016, active.

NPI record

NPI1407347016 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location1140 W 1130 S Ste B, Orem, UT 84057
Practice phone801-935-4171
EnumeratedMay 21, 2018
Last updatedJuly 5, 2023
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X1-23-66280 (UT)

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