NPI 1497505986 · live from the CMS NPI Registry
Luther Anderson
Behavior Technician in East Tawas, MI. National Provider Identifier 1497505986, active.
NPI record
| NPI | 1497505986 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Technician 106S00000X |
| Practice location | 111 Newman St, East Tawas, MI 48730 |
| Practice phone | 989-334-4837 |
| Mailing address | 1500 S Douglas Rd Ste 230, Coral Gables, FL 33134 |
| Enumerated | March 26, 2024 |
| Last updated | August 23, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | — |
| Behavior Technician primary | 106S00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.