Wellformed AI

NPI 1912895053 · live from the CMS NPI Registry

Jakala Alexander-Mitchell

Behavior Analyst in Livonia, MI. National Provider Identifier 1912895053, active.

NPI record

NPI1912895053 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location33111 Plymouth Rd, Livonia, MI 48150
Practice phone313-263-6250
Mailing address7584 Lathers St, Westland, MI 48185
EnumeratedJune 26, 2025
Last updatedJune 26, 2025
Sole proprietorYes

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.