Wellformed AI

NPI 1841831872 · live from the CMS NPI Registry

Susan M Adisa, BCBA, LBS

Behavior Analyst in Lakewood, NJ. National Provider Identifier 1841831872, active.

NPI record

NPI1841831872 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location850 Towbin Ave, Lakewood, NJ 08701
Practice phone814-599-1684
EnumeratedOctober 1, 2019
Last updatedJune 18, 2025
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X1-18-32802 (PA)

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