Wellformed AI

NPI 1952964355 · live from the CMS NPI Registry

Cheyne Lynne Bamburg

Behavior Analyst in Lafayette, LA. National Provider Identifier 1952964355, active.

NPI record

NPI1952964355 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location1602 W Pinhook Rd Ste 303, Lafayette, LA 70508
Practice phone337-806-9601
Mailing address401 N College Rd, Lafayette, LA 70506
EnumeratedApril 21, 2019
Last updatedJune 30, 2022
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000XL-358 (LA)

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