Wellformed AI

NPI 1699054502 · live from the CMS NPI Registry

F Charles Mace, PhD

Behavior Analyst in Davie, FL. National Provider Identifier 1699054502, active.

NPI record

NPI1699054502 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location3200 S University Dr, Davie, FL 33328
Practice phone954-262-4100
Mailing address300 N Phillips Ave Apt 305, Sioux Falls, SD 57104
EnumeratedAugust 9, 2011
Last updatedJuly 13, 2022
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Psychologist, Cognitive & Behavioral103TB0200XPY8302 (FL)
Behavior Analyst primary103K00000X1-09-5055

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