Annika Alyse Anderson

Individual provider Active NPI Behavior Technician · Longmont, CO

NPI 1891402111 · NPPES record last updated Nov 7, 2022

Key facts

NPI
1891402111
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
1880 Industrial Cir Ste E
Longmont, CO 80501-6548
Phone
(720) 642-7019
NPI assigned
Nov 7, 2022
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

1880 Industrial Cir Ste E
Longmont, CO 80501-6548

Mailing address

1880 Industrial Cir Ste E
Longmont, CO 80501-6548
Phone (720) 642-7019

Other providers in Longmont, CO

All providers in Longmont, CO · Behavior Technician in Colorado

Sources for this page

Verify at the official NPI Registry.