Wellformed AI

NPI 1740056233 · live from the CMS NPI Registry

Corey Anderson

Behavior Analyst in Concord, NC. National Provider Identifier 1740056233, active.

NPI record

NPI1740056233 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location1040 Copperfield Blvd Ne, Concord, NC 28025
Practice phone704-780-4271
Mailing address16255 Ventura Blvd Ste 830, Encino, CA 91436
EnumeratedNovember 27, 2023
Last updatedNovember 27, 2023
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.