Wellformed AI

NPI 1790238442 · live from the CMS NPI Registry

Nicole Lacrosse

Behavior Analyst in Augusta, ME. National Provider Identifier 1790238442, active.

NPI record

NPI1790238442 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location53 Hayden Rd, Augusta, ME 04330
Practice phone207-716-6616
EnumeratedJuly 29, 2016
Last updatedJuly 29, 2016
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.