Wellformed AI

NPI 1861081234 · live from the CMS NPI Registry

Alicia Marie Anderson, PhD, BCBA

Behavior Analyst in Chicago, IL. National Provider Identifier 1861081234, active.

NPI record

NPI1861081234 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location333 W Armitage Ave Fl 2, Chicago, IL 60614
Practice phone773-573-6121
EnumeratedJanuary 11, 2021
Last updatedJanuary 11, 2021
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X1-19-37042 (IL)

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