Wellformed AI

NPI 1780598201 · live from the CMS NPI Registry

Be The Miracle Behavior Services LLC

Behavior Analyst in Eagle Mountain, UT. National Provider Identifier 1780598201, active.

NPI record

NPI1780598201 Type 2 · organization
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location2132 E Lone Tree Pkwy, Eagle Mountain, UT 84005
Practice phone385-202-9697
EnumeratedOctober 1, 2026
Last updatedOctober 1, 2026
Authorized officialDarren Pain, Owner

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.