| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ANJOLI D. ANDERSON | 1467061564 | 2020-07-24 |
Anjoli D. Anderson is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1467061564. Registration indicates Anjoli D. Anderson is a provider of services with a specialization in Behavioral Health & Social Service Providers, Behavior Technician (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, )
| Entity Type | Individual |
| Provider Name | Anjoli D. Anderson |
| Practice Office Address | 3101 LATHROP ST FAIRBANKS, AK US |
| Practice Office Telephone | 9074740890 |
| Mailing Address | 3101 LATHROP ST FAIRBANKS, AK 997017426 US |
| Business Telephone | 9074594700 |
| Code | Practice | License No State |
|---|---|---|
| 106S00000X PRIMARY | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician |