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Elise Dashae Anderson, BA, RBT

Behavior Technician in Bowling Green, KY. Individual provider (NPI-1).

NPI number1720849201
StatusActive
Last updated in NPPESJan 22, 2024

Details

NPI
1720849201
Entity type
Individual (NPI-1)
Name
Elise Dashae Anderson
Credential
BA, RBT
Sex
Female
Sole proprietor
No
Enumeration date
Jan 22, 2024
Certification date
Jan 22, 2024
Last updated
Jan 22, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior TechnicianRBT-23-305260–Yes

Practice location

2427 Russellville Rd
Bowling Green, KY 42101-3980

Phone 270-936-7472 · Fax 317-520-8200

Mailing address

3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135

Phone 855-324-0885 · Fax 317-520-8200

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