Wellformed AI

NPI 1730596867 · live from the CMS NPI Registry

Bruce Anderson Braswell, BCBA

Behavior Analyst in Columbia, SC. National Provider Identifier 1730596867, active.

NPI record

NPI1730596867 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location4404 Willingham Dr, Columbia, SC 29206
Practice phone803-603-5436
EnumeratedJuly 21, 2014
Last updatedJuly 21, 2014
Sole proprietorYes

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.