Wellformed AI

NPI 1801192133 · live from the CMS NPI Registry

Eloise Adams

Behavior Analyst in Bradley, IL. National Provider Identifier 1801192133, active.

NPI record

NPI1801192133 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location136 142 1/2 South Clinton, Bradley, IL 60915
Practice phone815-939-2313
Mailing address17746 Oak Park Ave, Tinley Park, IL 60477
EnumeratedFebruary 3, 2011
Last updatedFebruary 3, 2011
Sole proprietorNo

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.