Wellformed AI

NPI 1730726670 · live from the CMS NPI Registry

Alexis Tatianna Banks, BCBA

Behavior Analyst in Omaha, NE. National Provider Identifier 1730726670, active.

NPI record

NPI1730726670 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location14611 W Center Rd, Omaha, NE 68144
Practice phone407-497-9548
Mailing address3110 Retreat Dr Apt 103, Kissimmee, FL 34741
EnumeratedDecember 10, 2019
Last updatedFebruary 13, 2025
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.