Individual provider Active NPI

Anju Gangadeen, BCABA

  • Assistant Behavior Analyst
  • Riverview, FL
National Provider Identifier
1073397402
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
License
0-26-16777 Issued in FL
Practice address
10014 Park Place Ave
Riverview, FL 33578-5303
Phone
(813) 515-6323
Fax
(813) 515-6373
NPI assigned
Aug 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X 0-26-16777 FL Primary

Addresses

Primary practice location

10014 Park Place Ave
Riverview, FL 33578-5303

Mailing address

10014 Park Place Ave
Riverview, FL 33578-5303
Phone (813) 515-6323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1692835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1073397402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10014 PARK PLACE AVE",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335785303",
            "telephone_number": "813-515-6323",
            "fax_number": "813-515-6373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10014 PARK PLACE AVE",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335785303",
            "telephone_number": "813-515-6323",
            "fax_number": "813-515-6373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANGADEEN",
        "first_name": "ANJU",
        "credential": "BCABA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-24",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "0-26-16777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.