Wellformed AI

NPI 1437039583 · live from the CMS NPI Registry

Mackenzie Bukovskey

Behavior Analyst in Portsmouth, NH. National Provider Identifier 1437039583, active.

NPI record

NPI1437039583 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location200 Griffin Rd Ste 5, Portsmouth, NH 03801
Practice phone800-778-5560
Mailing address16 Phelps St, Kittery, ME 03904
EnumeratedSeptember 8, 2025
Last updatedOctober 20, 2026
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X1-26-89533 (ME)

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