Wellformed AI

NPI 1992500136 · live from the CMS NPI Registry

A Different Dimensions Aba LLC

Behavior Analyst in Charlotte, NC. National Provider Identifier 1992500136, active.

NPI record

NPI1992500136 Type 2 · organization
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location2015 Ayrsley Town Blvd Ste 202, Charlotte, NC 28273
Practice phone201-566-3947
Mailing address135 Rockaway Tpke Ste 101, Lawrence, NY 11559
EnumeratedFebruary 13, 2025
Last updatedJune 29, 2026
Authorized officialAndrew Teigman, Managing Partner

Taxonomies and licenses

TaxonomyCodeLicense
Community/Behavioral Health251S00000X—
Behavior Analyst primary103K00000X—

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