Organization
ANCHORED BEHAVIOR SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN WOHLWEND BCBA (CLINICAL DIRECTOR/ OWNER)
(813) 748-2477
Entity
Organization
Contact information
Practice address
12205 WILDBROOK DR, RIVERVIEW, FL 33569-4111
(813) 748-2477
Mailing address
12205 WILDBROOK DR, RIVERVIEW, FL 33569-4111
(813) 748-2477
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-12-10015
BOARD CERTIFIED BEHAVIOR ANALYST
FL
Enumeration date
04/10/2019
Last updated
04/10/2019
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