Wellformed AI

NPI 1730967720 · live from the CMS NPI Registry

Andrea Beasley, M.Ed, BCBA, LBA

Behavior Analyst in Memphis, TN. National Provider Identifier 1730967720, active.

NPI record

NPI1730967720 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location4055 N Park Loop, Memphis, TN 38152
Practice phone901-275-0408
Mailing address7911 Carol Elaine Cir, Bartlett, TN 38133
EnumeratedSeptember 20, 2023
Last updatedJanuary 28, 2025
Sole proprietorNo
Other namesAndrea Perkins

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X1358 (TN)

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