Israel Anderson
Individual provider Active NPI Behavior Technician · Lauderhill, FL
NPI 1235864141 · NPPES record last updated Jul 24, 2022
Key facts
- NPI
- 1235864141
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 6807 W Commercial Blvd
Lauderhill, FL 33319-2116 - Phone
- (754) 444-4171
- NPI assigned
- Jul 24, 2022
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | FL | Yes |
Addresses
Primary practice location
6807 W Commercial Blvd
Lauderhill, FL 33319-2116
Mailing address
4136 NW 1St PL
Deerfield Beach, FL 33442-8010
Other providers in Lauderhill, FL
- Panancy Ambroise
- Amen Group Corp
- Charles Amey
- Brianna Amos
- Luis Manuel Anaya
- Anjelic Expressions Therapy, LLC
- Ankod Inc
- Myrlande Ansion
- Jenna Meryl Appel
- Emerson Arai
All providers in Lauderhill, FL · Behavior Technician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.