Wellformed AI

NPI 1902340912 · live from the CMS NPI Registry

Jessica Crawford, BCBA

Behavior Analyst in Altoona, IA. National Provider Identifier 1902340912, active.

NPI record

NPI1902340912 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location1625 Adventureland Dr Ste B, Altoona, IA 50009
Practice phone515-967-4369
EnumeratedDecember 9, 2016
Last updatedDecember 9, 2016
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X1-15-18795 (IA)

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