NPI 1043688674 · live from the CMS NPI Registry
Reconna Rochelle Anderson
Behavior Analyst in Southfield, MI. National Provider Identifier 1043688674, active.
NPI record
| NPI | 1043688674 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 23800 W 10 Mile Rd, Southfield, MI 48033 |
| Practice phone | 248-450-6500 |
| Enumerated | September 14, 2015 |
| Last updated | September 3, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 7401001776 (MI) |
| Behavior Technician | 106S00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.