NPI 1013877844 · live from the CMS NPI Registry
Dominick John Anziano
Behavior Analyst in Stone Mountain, GA. National Provider Identifier 1013877844, active.
NPI record
| NPI | 1013877844 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 740 Stoneside Ct, Stone Mountain, GA 30083 |
| Practice phone | 404-668-7324 |
| Enumerated | November 14, 2025 |
| Last updated | November 14, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | RBT-25-431026 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.