Wellformed AI

NPI 1699687590 · live from the CMS NPI Registry

Juliana Shea Broder

Behavior Analyst in Opp, AL. National Provider Identifier 1699687590, active.

NPI record

NPI1699687590 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location209 Brandon Ave, Opp, AL 36467
Practice phone334-699-4007
EnumeratedSeptember 17, 2026
Last updatedSeptember 17, 2026
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X— (AL)

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