NPI 1023419611 · live from the CMS NPI Registry
Leica M Anzaldo, LBA, BCBA
Behavior Analyst in Raleigh, NC. National Provider Identifier 1023419611, active.
NPI record
| NPI | 1023419611 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 421 Fayetteville St Ste 1100, Raleigh, NC 27601 |
| Practice phone | 977-418-2978 |
| Mailing address | 350 Fairway Dr Ste 101, Deerfield Bch, FL 33441 |
| Enumerated | September 15, 2014 |
| Last updated | September 17, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | — |
| Behavior Analyst primary | 103K00000X | 271 (NC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.