Wellformed AI

NPI 1649749821 · live from the CMS NPI Registry

Zelda Boyd

Behavior Analyst in Portland, OR. National Provider Identifier 1649749821, active.

NPI record

NPI1649749821 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location3415 Se Powell Blvd, Portland, OR 97202
Practice phone503-234-9591
Mailing address3514 Ne Cleveland Ave, Portland, OR 97212
EnumeratedNovember 17, 2018
Last updatedFebruary 24, 2020
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.