Michael Anzardo
Behavior Technician in Belleview, FL. Individual provider (NPI-1).
NPI number1942908074
StatusActive
Last updated in NPPESFeb 17, 2023
Details
- NPI
- 1942908074
- Entity type
- Individual (NPI-1)
- Name
- Michael Anzardo
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 17, 2023
- Certification date
- Feb 17, 2023
- Last updated
- Feb 17, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
4611 Se 100th PlBelleview, FL 34420-3013
Phone 352-547-5849
Mailing address
4611 Se 100th Pl Unit 3Belleview, FL 34420-3013
Phone 352-559-2539 · Fax 352-547-5787
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