Wellformed AI

NPI 1629982848 · live from the CMS NPI Registry

Dane Corry

Behavior Analyst in Jackson, WY. National Provider Identifier 1629982848, active.

NPI record

NPI1629982848 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice locationPo Box 8841, Jackson, WY 83002
Practice phone678-618-6974
EnumeratedOctober 2, 2026
Last updatedOctober 2, 2026
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X12472055 (WY)

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