Wellformed AI

NPI 1679229819 · live from the CMS NPI Registry

A 2 Y Investments

Behavior Analyst in Texarkana, TX. National Provider Identifier 1679229819, active.

NPI record

NPI1679229819 Type 2 · organization
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location5604 Summerhill Rd Ste 4, Texarkana, TX 75503
Practice phone903-650-8921
EnumeratedFebruary 25, 2022
Last updatedFebruary 13, 2025
Authorized officialCarla Moon, Agency Admin
Other namesPremier Pediatric Therapy

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.