Anna Anderson

Individual provider Active NPI Behavior Technician · Mequon, WI

NPI 1811684244 · NPPES record last updated Apr 18, 2023

Key facts

NPI
1811684244
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
10400 N Baehr Rd
Mequon, WI 53092-4472
Phone
(833) 646-3222
Fax
(833) 646-3222
NPI assigned
Apr 18, 2023
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 Yes

Addresses

Primary practice location

10400 N Baehr Rd
Mequon, WI 53092-4472

Mailing address

224 W 35TH St Ste 500
New York, NY 10001-2538
Phone (833) 646-3222

Other providers in Mequon, WI

All providers in Mequon, WI · Behavior Technician in Wisconsin

Sources for this page

Verify at the official NPI Registry.