Wellformed AI

NPI 1992231575 · live from the CMS NPI Registry

Crystal Gremillion Blanchard

Behavior Analyst in Metairie, LA. National Provider Identifier 1992231575, active.

NPI record

NPI1992231575 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location4201 N I 10 Service Rd W, Metairie, LA 70006
Practice phone888-880-9270
Mailing address500 Fairway Dr, Suite 102, Deerfield Beach, FL 33441
EnumeratedMay 2, 2017
Last updatedFebruary 5, 2020
Sole proprietorYes
Other namesCrystal Gremillion

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000XL-381 (LA)

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