NPI 1346817160 · live from the CMS NPI Registry
Misty Layne Anderson, RBT
Behavior Analyst in Herrin, IL. National Provider Identifier 1346817160, active.
NPI record
| NPI | 1346817160 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 3022 S Park Ave, Herrin, IL 62948 |
| Practice phone | 618-967-1567 |
| Enumerated | June 9, 2021 |
| Last updated | September 10, 2025 |
| Sole proprietor | No |
| Other names | Misty Stephens |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 152.002951 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.