Wellformed AI

NPI 1760197925 · live from the CMS NPI Registry

Chantell Anderson

Behavior Analyst in Phoenix, IL. National Provider Identifier 1760197925, active.

NPI record

NPI1760197925 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location631 E 154th Pl, Phoenix, IL 60426
Practice phone773-577-9016
EnumeratedJanuary 20, 2023
Last updatedJanuary 20, 2023
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X— (IL)

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