Wellformed AI

NPI 1649768177 · live from the CMS NPI Registry

Amy Marie Lacher, BCBA

Behavior Analyst in Wasilla, AK. National Provider Identifier 1649768177, active.

NPI record

NPI1649768177 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location1975 W Church Ridge Dr, Wasilla, AK 99654
Practice phone907-414-9554
EnumeratedApril 30, 2018
Last updatedApril 8, 2020
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Assistant Behavior Analyst106E00000X153613 (AK)
Behavior Technician106S00000X— (AK)
Behavior Analyst primary103K00000X1-19-40360 (AK)

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