Wellformed AI

NPI 1669128336 · live from the CMS NPI Registry

Alexis T Blackmon

Behavior Analyst in Birmingham, AL. National Provider Identifier 1669128336, active.

NPI record

NPI1669128336 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location203 Narrows Pkwy, Birmingham, AL 35242
Practice phone205-362-7035
Mailing address203 Narrows Pkwy Ste B, Birmingham, AL 35242
EnumeratedFebruary 22, 2022
Last updatedApril 29, 2024
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.