Wellformed AI

NPI 1629647847 · live from the CMS NPI Registry

A Core Connection Services And Consulting, LLC

Behavior Analyst in Longwood, FL. National Provider Identifier 1629647847, active.

NPI record

NPI1629647847 Type 2 · organization
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location2135 W State Road 434, Longwood, FL 32779
Practice phone407-789-2673
EnumeratedJune 22, 2021
Last updatedAugust 23, 2023
Authorized officialKelly Greene, Operations Director/Owner

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.