Wellformed AI

NPI 1467103713 · live from the CMS NPI Registry

Macy Lynn Vance, RBT

Behavior Analyst in Rapid City, SD. National Provider Identifier 1467103713, active.

NPI record

NPI1467103713 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location7110 Jordan Dr, Rapid City, SD 57702
Practice phone605-791-7400
Mailing address2501 W. 26th Street, Sioux Falls, SD 57105
EnumeratedJanuary 18, 2022
Last updatedJanuary 7, 2026
Sole proprietorNo
Other namesMacy Markovic

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000XSD-LBA128 (SD)

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