Wellformed AI

NPI 1881028850 · live from the CMS NPI Registry

Glen Briscoe

Behavior Analyst in Junction City, OR. National Provider Identifier 1881028850, active.

NPI record

NPI1881028850 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location881 W 6th Ave, Junction City, OR 97448
Practice phone541-998-2163
EnumeratedAugust 27, 2013
Last updatedAugust 27, 2013
Sole proprietorYes

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.