Wellformed AI

NPI 1457921561 · live from the CMS NPI Registry

Kacie Nicole Bennington

Behavior Analyst in Prattville, AL. National Provider Identifier 1457921561, active.

NPI record

NPI1457921561 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location114 Medical Center Dr, Prattville, AL 36066
Practice phone334-491-3020
EnumeratedJune 30, 2021
Last updatedJune 30, 2021
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X— (AL)

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