Wellformed AI

NPI 1629730148 · live from the CMS NPI Registry

Aba Success

Behavior Analyst in Acworth, GA. National Provider Identifier 1629730148, active.

NPI record

NPI1629730148 Type 2 · organization
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location6371 Seymour Pl Nw, Acworth, GA 30101
Practice phone770-508-0686
EnumeratedOctober 12, 2021
Last updatedApril 2, 2026
Authorized officialFlorence Wiklof, 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.