Wellformed AI

NPI 1720964950 · live from the CMS NPI Registry

A Peach Grow Aba

Behavior Analyst in Savannah, GA. National Provider Identifier 1720964950, active.

NPI record

NPI1720964950 Type 2 · organization
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location22 Bull St Ste 300, Savannah, GA 31401
Practice phone229-376-0113
Mailing address165 W Mulberry Blvd Apt 4601, Savannah, GA 31407
EnumeratedAugust 13, 2025
Last updatedAugust 13, 2025
Authorized officialEbony Day, Owner/Ceo

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.