Wellformed AI

NPI 1942571401 · live from the CMS NPI Registry

Crystal Brooke Allen, BCBA

Behavior Analyst in Clinton, MO. National Provider Identifier 1942571401, active.

NPI record

NPI1942571401 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location210 South 2nd Street, The Pediatric Place, LLC, Suite A, Clinton, MO 64735
Practice phone660-885-2394
EnumeratedJanuary 14, 2012
Last updatedFebruary 24, 2026
Sole proprietorNo
Other namesCrystal Mosley

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X2010042089 (MO)

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