Wellformed AI

NPI 1710451489 · live from the CMS NPI Registry

Danielle Thomas, BHC

Behavior Analyst in Fairbanks, AK. National Provider Identifier 1710451489, active.

NPI record

NPI1710451489 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location1717 W Cowles St, Fairbanks, AK 99701
Practice phone907-451-6682
Mailing address122 1st Ave Ste 106, Fairbanks, AK 99701
EnumeratedJanuary 16, 2019
Last updatedJanuary 16, 2019
Sole proprietorNo

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.