Wellformed AI

NPI 1750870234 · live from the CMS NPI Registry

Kimberly T Anderson, BCBA, LABA, LMHC

Behavior Analyst in Beverly, MA. National Provider Identifier 1750870234, active.

NPI record

NPI1750870234 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location100 Cummings Ctr Ste 135h, Beverly, MA 01915
Practice phone978-927-0172
Mailing address100 Cummings Ctr, Suite 135h, Beverly, MA 01915
EnumeratedMay 9, 2018
Last updatedMay 9, 2018
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X996 (MA)

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