Wellformed AI

NPI 1639625874 · live from the CMS NPI Registry

Jazmine Anderson

Behavior Analyst in Las Vegas, NV. National Provider Identifier 1639625874, active.

NPI record

NPI1639625874 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location1001 Miller Ave, Las Vegas, NV 89106
Practice phone702-495-4207
EnumeratedAugust 28, 2016
Last updatedAugust 28, 2016
Sole proprietorYes

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.