Wellformed AI

NPI 1619334430 · live from the CMS NPI Registry

Olivia Lynne Akridge, M.ED BCBA

Behavior Analyst in Eddyville, KY. National Provider Identifier 1619334430, active.

NPI record

NPI1619334430 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location248 Us Highway 373 North, Eddyville, KY 42038
Practice phone270-601-1277
EnumeratedJanuary 25, 2016
Last updatedJanuary 25, 2016
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000XA05-309-959 (KY)

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