Wellformed AI

NPI 1528619251 · live from the CMS NPI Registry

Amanda Keene

Behavior Analyst in Saint Cloud, MN. National Provider Identifier 1528619251, active.

NPI record

NPI1528619251 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location3721 23rd St S Ste 201, Saint Cloud, MN 56301
Practice phone605-271-2690
Mailing address1105 W Russell St, Sioux Falls, SD 57104
EnumeratedSeptember 24, 2019
Last updatedJuly 7, 2025
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Technician106S00000X—
Behavior Analyst primary103K00000XLBA0171 (MN)

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