IndividualActive
Michelle Anderson
NPI 1619633799 · Behavior Technician · Interlachen, FL
Provider details
- NPI number
- 1619633799
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
121 Sunset Ln
Interlachen, FL 32148-9001
Phone: (904) 495-8673
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1499
Interlachen, FL 32148-1499
Registry dates
- Enumerated
- 2021-11-12
- Last updated
- 2021-11-12
- Certified
- 2021-11-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.