Wellformed AI

NPI 1629577754 · live from the CMS NPI Registry

Jenna Marie Abrahamson, M.Ed., BCBA, COBA

Behavior Analyst in Centerville, OH. National Provider Identifier 1629577754, active.

NPI record

NPI1629577754 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location6460 Centerville Business Pkwy, Centerville, OH 45459
Practice phone937-265-8151
Mailing address1117 Westover Rd, Xenia, OH 45385
EnumeratedFebruary 5, 2018
Last updatedDecember 6, 2023
Sole proprietorNo
Other namesJenna Rezes

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000XCOBA.00503 (OH)

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