Wellformed AI

NPI 1972424422 · live from the CMS NPI Registry

Courtney Nicole Dejong

Behavior Analyst in Chamberlain, SD. National Provider Identifier 1972424422, active.

NPI record

NPI1972424422 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location201 Terrace Rd, Chamberlain, SD 57325
Practice phone605-391-9619
Mailing address4100 S Elmwood Pl, Sioux Falls, SD 57105
EnumeratedJuly 22, 2026
Last updatedJuly 22, 2026
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X186 (SD)

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