Individual provider · NPI-1
Elliana Joy Anderson, Behavior Technician
Behavior Technician · Annapolis, MD
NPI number1225895576
StatusActive
Last updated in NPPESMar 4, 2024
Details
- NPI
- 1225895576
- Entity type
- Individual (NPI-1)
- Name
- Elliana Joy Anderson
- Credential
- Behavior Technician
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 4, 2024
- Certification date
- Mar 4, 2024
- Last updated
- Mar 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1919 West St Ste 201Annapolis, MD 21401-3954
Phone 410-673-4965
Mailing address
1500 S Douglas Rd Ste 230Coral Gables, FL 33134-4108
Phone 844-244-1818
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