Wellformed AI

NPI 1700420056 · live from the CMS NPI Registry

Aba Therapy & Beyond

Behavior Analyst in Memphis, TN. National Provider Identifier 1700420056, active.

NPI record

NPI1700420056 Type 2 · organization
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location5115 Covington Way, Suite 5, Memphis, TN 38134
Practice phone901-207-1267
Mailing address5115 Covington Way, Memphis, TN 38134
EnumeratedOctober 30, 2019
Last updatedOctober 30, 2019
Authorized officialCandi Edwards, Co-Owner

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X—

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