Wellformed AI

NPI 1720386196 · live from the CMS NPI Registry

Elista Angelova

Behavior Analyst in Las Vegas, NV. National Provider Identifier 1720386196, active.

NPI record

NPI1720386196 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location1810 E Sahara Ave Ste 200, Las Vegas, NV 89104
Practice phone702-207-6782
EnumeratedMarch 8, 2011
Last updatedMarch 8, 2011
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.