Wellformed AI

NPI 1487244604 · live from the CMS NPI Registry

Tasha Lorraine Lewis, BCBA, LBA

Behavior Analyst in Martinsburg, WV. National Provider Identifier 1487244604, active.

NPI record

NPI1487244604 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location348 Sheerer Dr, Martinsburg, WV 25404
Practice phone304-886-2043
EnumeratedJanuary 21, 2021
Last updatedJanuary 21, 2021
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X1-20-45268

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