Wellformed AI

NPI 1639712243 · live from the CMS NPI Registry

Alyssa Marie Amata

Behavior Analyst in Las Vegas, NV. National Provider Identifier 1639712243, active.

NPI record

NPI1639712243 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location2715 E Russell Rd, Las Vegas, NV 89120
Practice phone702-848-1696
Mailing address6244 Parsifal Pl, Las Vegas, NV 89107
EnumeratedOctober 26, 2019
Last updatedMarch 6, 2020
Sole proprietorNo

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.