Elizabeth Rose Anderson
Individual provider Active NPI Behavior Analyst · Fort Lawn,, SC
NPI 1669989489 · NPPES record last updated Oct 4, 2024
Key facts
- NPI
- 1669989489
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 1372 Mount Vernon Rd.
Fort Lawn,, SC 29714 - Phone
- (850) 818-0095
- NPI assigned
- Jan 2, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| Focus on Behavior | Behavior Analyst | Past | Accepting new patients |
| Complete Rehabilitation and Sports Physical Therapy, PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
1372 Mount Vernon Rd.
Fort Lawn,, SC 29714
Mailing address
PO Box 749
Belmont, NC 28012-0749
Phone (704) 869-2088
Other practice location 1
300 Market St Ste 200
Chapel Hill, NC 27516-4493
Phone (984) 528-8787
Other providers in Fort Lawn,, SC
- A&B Homes LLC
- Bio-Medical Applications of South Carolina, Inc.
- Mozelle Blackmon Jr.
- Amy Elizabeth Gallozzi
- Haul All Transport LLC
- Helms Gordon LLC
All providers in Fort Lawn,, SC · Behavior Analyst in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 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.