Wellformed AI

NPI 1780494153 · live from the CMS NPI Registry

Kanun Andrade Chacon, CBT

Behavior Analyst in Bellevue, WA. National Provider Identifier 1780494153, active.

NPI record

NPI1780494153 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location16120 Ne 8th St, Bellevue, WA 98008
Practice phone425-747-4004
EnumeratedJanuary 8, 2025
Last updatedJanuary 8, 2025
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000XCB61644461 (WA)

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