Wellformed AI

NPI 1669989489 · live from the CMS NPI Registry

Elizabeth Rose Anderson

Behavior Analyst in Fort Lawn,, SC. National Provider Identifier 1669989489, active.

NPI record

NPI1669989489 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location1372 Mount Vernon Rd., Fort Lawn,, SC 29714
Practice phone850-818-0095
Mailing addressPo Box 749, Belmont, NC 28012
EnumeratedJanuary 2, 2018
Last updatedOctober 4, 2024
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Technician106S00000X—
Behavior Analyst primary103K00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.