Wellformed AI

NPI 1497178065 · live from the CMS NPI Registry

Miracle Anyanwu

Behavior Analyst in Las Vegas, NV. National Provider Identifier 1497178065, active.

NPI record

NPI1497178065 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location3200 Mcleod Dr Apt 242, Las Vegas, NV 89121
Practice phone702-517-8197
EnumeratedFebruary 1, 2014
Last updatedFebruary 1, 2014
Sole proprietorYes

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.