Wellformed AI

NPI 1942005228 · live from the CMS NPI Registry

Creid Ayers

Behavior Analyst in Richmond, IN. National Provider Identifier 1942005228, active.

NPI record

NPI1942005228 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location4180 S A St, Richmond, IN 47374
Practice phone574-387-4313
Mailing address215 Red Coach Dr, Mishawaka, IN 46545
EnumeratedFebruary 19, 2025
Last updatedNovember 6, 2025
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Technician106S00000XRBT-23-264461 (IN)
Behavior Analyst primary103K00000X1-25-82637 (IN)

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