Wellformed AI

NPI 1952865446 · live from the CMS NPI Registry

Suzanne Johnson Anderson, MA, BCBA, LBA

Behavior Analyst in Louisville, KY. National Provider Identifier 1952865446, active.

NPI record

NPI1952865446 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location175 Market Place Dr Ste A, Louisville, KY 40229
Practice phone502-251-7002
Mailing address3500 Depauw Blvd Ste 3070, Indianapolis, IN 46268
EnumeratedJanuary 29, 2019
Last updatedNovember 30, 2023
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X247820 (KY)

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