Wellformed AI

NPI 1710547146 · live from the CMS NPI Registry

Michael A Mcnutt, M.S., BCBA

Behavior Analyst in Auburn, ME. National Provider Identifier 1710547146, active.

NPI record

NPI1710547146 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location415 Rodman Rd, Auburn, ME 04210
Practice phone207-376-3022
Mailing address55 Middle St, Hallowell, ME 04347
EnumeratedJune 18, 2019
Last updatedJune 18, 2019
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X1-17-28275 (ME)

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