Wellformed AI

NPI 1477065761 · live from the CMS NPI Registry

Abilities Aba Services

Behavior Analyst in Boston, MA. National Provider Identifier 1477065761, active.

NPI record

NPI1477065761 Type 2 · organization
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location800 Boylston St Unit 990281, Boston, MA 02199
Practice phone617-922-2370
Mailing addressPo Box 990281, Boston, MA 02199
EnumeratedOctober 26, 2017
Last updatedApril 29, 2025
Authorized officialSharon Southard, Owner, Bcba

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst103K00000X1585 (MA)
Behavior Analyst primary103K00000X825 (MA)

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