| Anchors Aweigh Aba Llc | |
|
574 Outlook Dr Ponte Vedra FL 32081-0780 | |
| (757) 572-1949 | |
| Not Available |
| Full Name | Anchors Aweigh Aba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 574 Outlook Dr, Ponte Vedra, Florida |
| Authorized Official Name and Position | Amanda R Davidson (OWNER) |
| Authorized Official Contact | 7575721949 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anchors Aweigh Aba Llc 101 Marketside Ave Ste 404-411 Ponte Vedra FL 32081-1541 Ph: (757) 572-1949 | Anchors Aweigh Aba Llc 574 Outlook Dr Ponte Vedra FL 32081-0780 Ph: (757) 572-1949 |
| NPI Number | 1083122295 |
|---|---|
| Provider Enumeration Date | 01/22/2018 |
| Last Update Date | 03/24/2020 |
| Certification Date | 03/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083122295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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