Anita Gwinn Chargualaf, RBT
Individual provider Active NPI Behavior Technician · Brownsboro, AL
NPI 1316626583 · NPPES record last updated Jul 14, 2023
Key facts
- NPI
- 1316626583
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 5767 Cove Commons Dr
Brownsboro, AL 35741-9744 - Phone
- (217) 525-8332
- Fax
- (217) 789-1420
- NPI assigned
- Jul 14, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope Clinical Care | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
5767 Cove Commons Dr
Brownsboro, AL 35741-9744
Mailing address
5220 6TH Street Frontage Rd E Ste 1700
Springfield, IL 62703-5771
Phone (217) 525-8332
Other providers in Brownsboro, AL
- Bryanna Lee Burckardt
- Macie Louise Cagle
- Amy Elizabeth Carter
- Kristi Rose Oreka Carter
- Maysie Spears Chapman
- Nadia Chiaradia
- Choice Chiropractic, PC
- Mia Angela Craig
- Deborah J Daniel
- Jenny Lynn Davis
All providers in Brownsboro, AL · Behavior Technician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 14, 2023. 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.