Wellformed AI

NPI 1417527060 · live from the CMS NPI Registry

Sonia R. Ampat

Behavior Analyst in Suwanee, GA. National Provider Identifier 1417527060, active.

NPI record

NPI1417527060 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location5050 Research Ct # 125, Suwanee, GA 30024
Practice phone404-410-7600
Mailing address5123 Wellsley Bnd, Alpharetta, GA 30005
EnumeratedJune 27, 2021
Last updatedJanuary 30, 2025
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Technician106S00000XRBT-21-169239 (GA)
Behavior Analyst primary103K00000X1-24-78353 (GA)

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