NPI 1073144002 · live from the CMS NPI Registry
Emma Day Anderson
Behavior Analyst in Fayetteville, GA. National Provider Identifier 1073144002, active.
NPI record
| NPI | 1073144002 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 320 Lanier Ave W, Fayetteville, GA 30214 |
| Practice phone | 404-400-5004 |
| Mailing address | 80 College Blvd E, Niceville, FL 32578 |
| Enumerated | January 29, 2020 |
| Last updated | June 16, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | BCBA-1-21-55252 (FL) |
| Behavior Technician | 106S00000X | RBT-19-9177-190225 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.