Wellformed AI

NPI 1679399653 · live from the CMS NPI Registry

Emma Ashley

Behavior Analyst in Bloomington, IN. National Provider Identifier 1679399653, active.

NPI record

NPI1679399653 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location3101 N. Canterbury Court, Bloomington, IN 47404
Practice phone317-249-2242
Mailing address4665 Paris St, Denver, CO 80239
EnumeratedNovember 25, 2024
Last updatedApril 24, 2025
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Technician106S00000XRBT-22-237831 (IN)
Behavior Analyst primary103K00000X1-25-79093 (IN)

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