NPI 1710359799 · live from the CMS NPI Registry
Dustin Anderson
Case Manager/Care Coordinator in Bastrop, LA. National Provider Identifier 1710359799, active.
NPI record
| NPI | 1710359799 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Case Manager/Care Coordinator 171M00000X |
| Practice location | 644 E Jefferson Ave, Bastrop, LA 71220 |
| Practice phone | 318-239-3862 |
| Enumerated | October 29, 2015 |
| Last updated | July 12, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Manager/Care Coordinator primary | 171M00000X | — |
| Behavior Analyst | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.