NPI 1295420768 · live from the CMS NPI Registry
Amber Anderson
Behavior Technician in Grand Rapids, MI. National Provider Identifier 1295420768, active.
NPI record
| NPI | 1295420768 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Technician 106S00000X |
| Practice location | 1000 E Paris Ave Se, Grand Rapids, MI 49546 |
| Practice phone | 844-854-1116 |
| Mailing address | 1500 S Douglas Rd, Coral Gables, FL 33134 |
| Enumerated | April 10, 2023 |
| Last updated | April 10, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | — |
| Assistant Behavior Analyst | 106E00000X | — |
| Behavior Technician primary | 106S00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.