Wellformed AI

NPI 1881023232 · live from the CMS NPI Registry

Emmar Bazile, BCBA

Behavior Analyst in Portland, OR. National Provider Identifier 1881023232, active.

NPI record

NPI1881023232 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location9115 Sw Oleson Rd Ste 100, Portland, OR 97223
Practice phone832-289-2465
Mailing addressPo Box 7445, Spokane, WA 99207
EnumeratedNovember 6, 2013
Last updatedJune 24, 2020
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X1-13-12824 (FL)

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