Elizabeth C Anderson
Individual provider Active NPI Behavior Analyst · St Johns, FL
NPI 1982409306 · NPPES record last updated Feb 18, 2025
Key facts
- NPI
- 1982409306
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 521 Silverbell CT
St Johns, FL 32259-1911 - Phone
- (904) 660-7872
- NPI assigned
- Feb 18, 2025
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
521 Silverbell CT
St Johns, FL 32259-1911
Mailing address
521 Silverbell CT
St Johns, FL 32259-1911
Other providers in St Johns, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 18, 2025. 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.