Wellformed AI

NPI 1700338050 · live from the CMS NPI Registry

Shayla J. Anderson

Behavior Analyst in Carrollton, GA. National Provider Identifier 1700338050, active.

NPI record

NPI1700338050 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location204 Stewart St, Carrollton, GA 30117
Practice phone678-890-1055
EnumeratedNovember 2, 2016
Last updatedMay 5, 2026
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X1-25-85134 (GA)

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