Grace Julia Anderson
Individual provider Active NPI Behavior Technician · Ocoee, FL
NPI 1376375741 · NPPES record last updated Aug 15, 2024
Key facts
- NPI
- 1376375741
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 2930 Maguire Rd Ste 200
Ocoee, FL 34761-4750 - Phone
- (407) 602-5010
- NPI assigned
- Aug 15, 2024
- Sex
- Female
- 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 | Yes |
Addresses
Primary practice location
2930 Maguire Rd Ste 200
Ocoee, FL 34761-4750
Mailing address
2930 Maguire Rd Ste 200
Ocoee, FL 34761-4750
Phone (407) 602-5010
Other providers in Ocoee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2024. 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.