Anniqua Chandler
Behavior Technician in Jacksonville, FL. Individual provider (NPI-1).
NPI number1124862834
StatusActive
Last updated in NPPESJun 19, 2024
Details
- NPI
- 1124862834
- Entity type
- Individual (NPI-1)
- Name
- Anniqua Chandler
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 19, 2024
- Certification date
- Jun 19, 2024
- Last updated
- Jun 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-24-354059 | FL | Yes |
Practice location
13121 Atlantic Blvd Ste 200Jacksonville, FL 32225-0102
Phone 904-491-2111 · Fax 904-512-0613
Mailing address
13121 Atlantic Blvd Ste 200Jacksonville, FL 32225-0102
Phone 904-491-2111 · Fax 904-512-0613
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