NPI 1740908128 · live from the CMS NPI Registry
Carla Angela Anfuso, BCBA
Behavior Analyst in Lemont, IL. National Provider Identifier 1740908128, active.
NPI record
| NPI | 1740908128 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 13664 Anne Dr, Lemont, IL 60439 |
| Practice phone | 312-420-2093 |
| Mailing address | 2107 Elmwood Ave, Berwyn, IL 60402 |
| Enumerated | August 22, 2022 |
| Last updated | August 22, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 1-22-60468 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.