NPI 1124406038 · live from the CMS NPI Registry
Cora Summer Anthony
Behavior Analyst in Grandville, MI. National Provider Identifier 1124406038, active.
NPI record
| NPI | 1124406038 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 3879 Basswood Dr Sw, Grandville, MI 49418 |
| Practice phone | 269-501-5952 |
| Enumerated | May 12, 2015 |
| Last updated | June 12, 2026 |
| Sole proprietor | No |
| Other names | Cora Santman |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 7401000188 (MI) |
| Technician, Other | 247200000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.