Wellformed AI

NPI 1902361330 · live from the CMS NPI Registry

Amanda Jessica Mae Allen

Behavior Analyst in Lacey, WA. National Provider Identifier 1902361330, active.

NPI record

NPI1902361330 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice locationBasics Nw LLC, 8282 28th Ct Ne Suite A, Lacey, WA 98516
Practice phone360-915-6868
EnumeratedFebruary 11, 2019
Last updatedFebruary 11, 2019
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X—

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