Wellformed AI

NPI 1821826215 · live from the CMS NPI Registry

Bethany Olivia Bartow

Behavior Analyst in Dubuque, IA. National Provider Identifier 1821826215, active.

NPI record

NPI1821826215 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location2175 Southpark Ct, Dubuque, IA 52003
Practice phone563-526-0400
Mailing address215 4th Ave Se, Cedar Rapids, IA 52401
EnumeratedJuly 25, 2024
Last updatedJuly 25, 2024
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.