Bridget Nicole Anders

Key facts

NPI

1083399752

Entity type

Individual (NPI type 1)

Primary specialty

Behavior Technician 106S00000X

Practice address

652 Peace Chance Dr
Havre de Grace, MD 21078-3162

Phone

(667) 494-2332

Fax

(443) 966-6365

NPI assigned

Jun 20, 2023

Sex

Female

Sole proprietor

No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Personalized Alternatives for Learning Behavior Analyst · Havre de Grace, MD · NPI 1861994287
  NPD

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 18, 2026.

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1083399752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "652 PEACE CHANCE DR",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210783162",
            "telephone_number": "667-494-2332",
            "fax_number": "443-966-6365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "652 PEACE CHANCE DR",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210783162",
            "telephone_number": "667-494-2332",
            "fax_number": "443-966-6365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERS",
        "first_name": "BRIDGET",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-20",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Havre de Grace, MD · Behavior Technician in Maryland