Wellformed AI

NPI 1649766924 · live from the CMS NPI Registry

Macey A Burgos, BCBA

Behavior Analyst in Augusta, ME. National Provider Identifier 1649766924, active.

NPI record

NPI1649766924 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location16 Commerce Dr, Augusta, ME 04330
Practice phone617-958-1271
EnumeratedJuly 10, 2018
Last updatedMay 18, 2026
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X1-26-88361 (ME)

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