Wellformed AI

NPI 1700446945 · live from the CMS NPI Registry

Madhumathi Annamraju, BCBA

Behavior Analyst in Newport News, VA. National Provider Identifier 1700446945, active.

NPI record

NPI1700446945 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location11824 Fishing Point Dr Ste B, Newport News, VA 23606
Practice phone804-683-5194
Mailing address24190 Lenah Woods Pl, Aldie, VA 20105
EnumeratedJune 19, 2019
Last updatedAugust 22, 2023
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X0133001429 (VA)

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