Wellformed AI

NPI 1487353629 · live from the CMS NPI Registry

1-2-3 Aba

Behavior Analyst in Fort Myers, FL. National Provider Identifier 1487353629, active.

NPI record

NPI1487353629 Type 2 · organization
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location3049 Cleveland Ave Ste 263, Fort Myers, FL 33901
Practice phone786-788-2782
EnumeratedFebruary 27, 2023
Last updatedMay 14, 2025
Authorized officialNavila Ruiz, President

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X—

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