Wellformed AI

NPI 1790538239 · live from the CMS NPI Registry

Marie C Conway, BCBA

Behavior Analyst in Calmar, IA. National Provider Identifier 1790538239, active.

NPI record

NPI1790538239 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location305 S Maryville St, Calmar, IA 52132
Practice phone563-880-8537
EnumeratedApril 5, 2024
Last updatedApril 5, 2024
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X123049 (IA)

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