Wellformed AI

NPI 1609341403 · live from the CMS NPI Registry

Jessica Herbert, BCBA

Behavior Analyst in Sioux Falls, SD. National Provider Identifier 1609341403, active.

NPI record

NPI1609341403 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location1105 W Russell St, Sioux Falls, SD 57104
Practice phone605-271-2690
Mailing address2804 E 26th St Ste 1, Sioux Falls, SD 57103
EnumeratedOctober 8, 2018
Last updatedDecember 2, 2019
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.