Wellformed AI

NPI 1972455756 · live from the CMS NPI Registry

Aba Dynamic Learning LLC

Behavior Analyst in Palm Bay, FL. National Provider Identifier 1972455756, active.

NPI record

NPI1972455756 Type 2 · organization
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location1501 Robert J Conlan Blvd Ne Ste 120-10, Palm Bay, FL 32905
Practice phone561-497-5612
EnumeratedFebruary 12, 2026
Last updatedMarch 23, 2026
Authorized officialSamuel Hernandez Carmenate, Ceo

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X—

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