Wellformed AI

NPI 1902334774 · live from the CMS NPI Registry

Chana Campbell-Nelson, QBA, LBA

Behavior Analyst in Columbia, SC. National Provider Identifier 1902334774, active.

NPI record

NPI1902334774 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location1320 Main St, Columbia, SC 29201
Practice phone888-880-9270
Mailing address500 Fairway Dr Ste 102, Deerfield Beach, FL 33441
EnumeratedMay 24, 2017
Last updatedJune 20, 2023
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Technician106S00000X—
Behavior Analyst primary103K00000X—

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