Wellformed AI

NPI 1689253197 · live from the CMS NPI Registry

Amber Bruce, MS, BCBA, LBA

Behavior Analyst in Somerset, KY. National Provider Identifier 1689253197, active.

NPI record

NPI1689253197 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location105 College St, Somerset, KY 42501
Practice phone606-677-2636
Mailing address300 Winter Park Dr, Somerset, KY 42503
EnumeratedApril 3, 2021
Last updatedMay 25, 2022
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X268436 (KY)

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