Wellformed AI

NPI 1891233763 · live from the CMS NPI Registry

Aba4autism,LLC

Behavior Analyst in Haymarket, VA. National Provider Identifier 1891233763, active.

NPI record

NPI1891233763 Type 2 · organization
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location15667 Ryder Cup Dr, Haymarket, VA 20169
Practice phone603-732-3415
Mailing address5501 Merchants View Sq Ste 743, Haymarket, VA 20169
EnumeratedFebruary 10, 2017
Last updatedFebruary 10, 2017
Authorized officialPerry Olson, Owner

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X1-15-19329 (NH)

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