Dana Anderson

Individual provider Active NPI Behavior Technician · Deerfield BCH, FL

NPI 1689215907 · NPPES record last updated Oct 8, 2019

Key facts

NPI
1689215907
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
500 Fairway Dr Ste 102
Deerfield BCH, FL 33441-1817
Phone
(877) 418-2978
Fax
(866) 500-2186
NPI assigned
Oct 8, 2019
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)CodeLicenseStatePrimary
Behavior Technician 106S00000X FL Yes

Addresses

Primary practice location

500 Fairway Dr Ste 102
Deerfield BCH, FL 33441-1817

Mailing address

500 Fairway Dr Ste 102
Deerfield BCH, FL 33441-1817

Other practice location 1

1092 Dudley Dr
Kissimmee, FL 34758-2930
Phone (229) 630-7029

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL Deerfield

Other providers in Deerfield BCH, FL

All providers in Deerfield BCH, FL · Behavior Technician in Florida

Sources for this page

Verify at the official NPI Registry.