Wellformed AI

NPI 1982276648 · live from the CMS NPI Registry

Cassandra Marie Anderson, BCBA

Behavior Analyst in Mililani, HI. National Provider Identifier 1982276648, active.

NPI record

NPI1982276648 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location100 Kahelu Ave Ste 112, Mililani, HI 96789
Practice phone808-625-3000
Mailing address15808 Bear Creek, Apt. 602, Redmond, WA 98052
EnumeratedJuly 13, 2021
Last updatedOctober 11, 2024
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Technician106S00000X— (WA)
Behavior Analyst primary103K00000XBA-894 (HI)

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