Wellformed AI

NPI 1588059117 · live from the CMS NPI Registry

Madelaine Bowman, M.A., M.Ed., BCBA

Behavior Analyst in Salt Lake City, UT. National Provider Identifier 1588059117, active.

NPI record

NPI1588059117 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location243 E 400 S, Suite 300, Salt Lake City, UT 84111
Practice phone208-403-7330
EnumeratedMarch 31, 2015
Last updatedMarch 31, 2015
Sole proprietorNo

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.