Wellformed AI

NPI 1487545430 · live from the CMS NPI Registry

Behavior Blueprint

Behavior Analyst in Memphis, TN. National Provider Identifier 1487545430, active.

NPI record

NPI1487545430 Type 2 · organization
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location2670 Union, 822, Memphis, TN 38112
Practice phone901-238-5814
EnumeratedJuly 9, 2025
Last updatedJuly 9, 2025
Authorized officialChauntell Troutman, Clinical Director/ Owner

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.