Wellformed AI

NPI 1639728850 · live from the CMS NPI Registry

Emma Sage Boyer

Behavior Analyst in Bend, OR. National Provider Identifier 1639728850, active.

NPI record

NPI1639728850 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location1550 Ne Williamson Blvd # 120, Bend, OR 97701
Practice phone541-639-9308
EnumeratedSeptember 10, 2019
Last updatedSeptember 10, 2019
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.