Wellformed AI

NPI 1881103992 · live from the CMS NPI Registry

Agata M Acklin, Med.BCBA,LBA

Behavior Analyst in Lacey, WA. National Provider Identifier 1881103992, active.

NPI record

NPI1881103992 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location8282 28th Ct Ne Ste A, Lacey, WA 98516
Practice phone360-915-6868
EnumeratedSeptember 21, 2017
Last updatedJuly 21, 2022
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000XBA60785960 (WA)

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