Individual provider · NPI-1

Corey Anderson

Behavior Analyst · Concord, NC

NPI number1740056233
StatusActive
Last updated in NPPESNov 27, 2023

Details

NPI
1740056233
Entity type
Individual (NPI-1)
Name
Corey Anderson
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 27, 2023
Certification date
Nov 22, 2023
Last updated
Nov 27, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst––Yes

Practice location

1040 Copperfield Blvd Ne
Concord, NC 28025

Phone 704-780-4271

Mailing address

16255 Ventura Blvd Ste 830
Encino, CA 91436-2317

Phone 704-780-4271

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