Wellformed AI

NPI 1437995289 · live from the CMS NPI Registry

Garrett Ellwood, BCBA

Behavior Analyst in Bala Cynwyd, PA. National Provider Identifier 1437995289, active.

NPI record

NPI1437995289 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location10 N Presidential Blvd Ste 105, Bala Cynwyd, PA 19004
Practice phone877-763-2599
Mailing address542 Amherst St Ste B, Nashua, NH 03063
EnumeratedJuly 2, 2024
Last updatedSeptember 16, 2025
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000XBH007423 (PA)
Behavior Analyst103K00000X0133003765 (VA)

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