Wellformed AI

NPI 1881987287 · live from the CMS NPI Registry

Alice Keyl Austin, Ph.D., BCBA-D, LBA

Behavior Analyst in Portland, OR. National Provider Identifier 1881987287, active.

NPI record

NPI1881987287 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location11481 Sw Hall Blvd Ste 104, Portland, OR 97223
Practice phone971-258-5555
EnumeratedMay 18, 2011
Last updatedJuly 21, 2022
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst103K00000XABA-B-10167139 (OR)
Behavior Analyst primary103K00000X1-07-3840

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