Wellformed AI

NPI 1447717723 · live from the CMS NPI Registry

Eugene Nduru, BCBA

Behavior Analyst in Rock Valley, IA. National Provider Identifier 1447717723, active.

NPI record

NPI1447717723 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location745 10th St Ste C, Rock Valley, IA 51247
Practice phone605-271-2690
Mailing address2804 E 26th St Ste 1, Sioux Falls, SD 57103
EnumeratedFebruary 22, 2019
Last updatedDecember 23, 2019
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Technician106S00000X—
Behavior Analyst primary103K00000X1-19-38801 (SD)

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