Michael Anzardo
Individual provider Active NPI Behavior Technician · Belleview, FL
NPI 1942908074 · NPPES record last updated Feb 17, 2023
Key facts
- NPI
- 1942908074
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 4611 SE 100TH PL
Belleview, FL 34420-3013 - Phone
- (352) 547-5849
- NPI assigned
- Feb 17, 2023
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
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 |
|---|---|---|---|
| Lifespan Behavior Services LLC | Current |
Accepting new patients |
Locations
4611 SE 100th Pl
Belleview, FL 34420
Phone (352) 547-5849
4611 SE 100th Pl
Unit 3
Belleview, FL 34420
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
4611 SE 100TH PL
Belleview, FL 34420-3013
Mailing address
4611 SE 100TH PL Unit 3
Belleview, FL 34420-3013
Phone (352) 559-2539
Other providers in Belleview, FL
- Gregory Miguel Aguila
- Christain Akyin
- Rebecca Lynn Allbritton
- Always There Browns Support Services
- Patricia Carol Anderson
- Shanaia Excelys Aponte-Roman
- Tridney Kenesha Askew
- Cristian Orlando Ayala Hernandez
- Brittani Morgon Bagwell
- Elizabeth Lorena Banos
All providers in Belleview, FL · Behavior Technician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 17, 2023. 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.