Wellformed AI

NPI 1972267847 · live from the CMS NPI Registry

Mackenzie Hansen, BCBA

Behavior Analyst in Cedar Falls, IA. National Provider Identifier 1972267847, active.

NPI record

NPI1972267847 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location328 Parkgate Rd, Cedar Falls, IA 50613
Practice phone215-880-2260
Mailing address3032 Ansborough Ave Ste A, Waterloo, IA 50701
EnumeratedOctober 27, 2021
Last updatedApril 11, 2025
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000XBA-01147 (IA)

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