Wellformed AI

NPI 1992188478 · live from the CMS NPI Registry

Melissa Dobbs

Behavior Analyst in Wasilla, AK. National Provider Identifier 1992188478, active.

NPI record

NPI1992188478 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location4272 South Timberland Loop, Wasilla, AK 99654
Practice phone907-841-6377
Mailing addressPo Box 879455, Wasilla, AK 99687
EnumeratedJuly 2, 2015
Last updatedJanuary 22, 2016
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X100010 (AK)
Speech-Language Pathologist, 235Z00000X105335 (AK)

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