Wellformed AI

NPI 1912397209 · live from the CMS NPI Registry

Pamela Lea Allen

Behavior Analyst in Traverse City, MI. National Provider Identifier 1912397209, active.

NPI record

NPI1912397209 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location990 Garfield Woods Dr, Suite B, Traverse City, MI 49686
Practice phone231-668-4909
EnumeratedJanuary 26, 2015
Last updatedJanuary 26, 2015
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.