NPI 1508468216 · live from the CMS NPI Registry
Stephanie Anderson
Behavior Analyst in O Fallon, IL. National Provider Identifier 1508468216, active.
NPI record
| NPI | 1508468216 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 6 Eagle Ctr Ste 1, O Fallon, IL 62269 |
| Practice phone | 618-206-8816 |
| Mailing address | 1500 S Douglas Rd Ste 230, Coral Gables, FL 33134 |
| Enumerated | November 9, 2020 |
| Last updated | November 9, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.