Wellformed AI

NPI 1609278753 · live from the CMS NPI Registry

Briana Boudreaux, BCBA

Behavior Analyst in West Jordan, UT. National Provider Identifier 1609278753, active.

NPI record

NPI1609278753 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location7533 S Center View Ct Ste 4126, West Jordan, UT 84084
Practice phone801-630-2040
Mailing address7533 S Center View Ct, West Jordan, UT 84084
EnumeratedSeptember 19, 2014
Last updatedMay 27, 2026
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X1-24-74512 (UT)

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