Wellformed AI

NPI 1972453868 · live from the CMS NPI Registry

Brandywine Center For Autism, LLC

Behavior Analyst in Easton, MD. National Provider Identifier 1972453868, active.

NPI record

NPI1972453868 Type 2 · organization
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location505 Dutchmans Ln Ste A2, Easton, MD 21601
Practice phone302-327-9215
Mailing address510 Philadelphia Pike, Wilmington, DE 19809
EnumeratedJanuary 30, 2026
Last updatedJanuary 30, 2026
Authorized officialValpresious Ham, Operations Director

Taxonomies and licenses

TaxonomyCodeLicense
Clinic/Center, Multi-Specialty261QM1300X—
Behavior Analyst primary103K00000X—

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