Anthonia Gansallo-lawrence, is a
Behavior Analyst based in Redford, Michigan. Anthonia Gansallo-lawrence is licensed to practice in * (Not Available) (license number ) and her current practice location is
9315 Telegraph Rd, Redford, Michigan. She can be reached at her office (for appointments etc.) via phone at
(313) 278-4601.
NPI number for Anthonia Gansallo-lawrence is 1922450287 and her current mailing address is 9315 Telegraph Rd, Redford, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1922450287.
Healthcare Provider's Profile
Full Name | Anthonia Gansallo-lawrence |
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Gender | Female |
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Speciality | Behavior Analyst |
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Location | 9315 Telegraph Rd, Redford, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1922450287
- Provider Enumeration Date: 07/11/2016
- Last Update Date: 02/28/2022
Medical Identifiers
Medical identifiers for Anthonia Gansallo-lawrence such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922450287 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Anthonia Gansallo-lawrence is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Anthonia Gansallo-lawrence, 9315 Telegraph Rd, Redford, MI 48239-1260 Ph: (313) 278-4601 | Anthonia Gansallo-lawrence, 9315 Telegraph Rd, Redford, MI 48239-1260 Ph: (313) 278-4601 |
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