Individual
ALAN E ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1540 BELVO RD, MIAMISBURG, OH 45342-7807
(937) 859-4505
Mailing address
11 W MONUMENT AVE FL 7, DAYTON, OH 45402-1274
(937) 461-4300
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326012360
AGENCY NPI
OH
Enumeration date
02/25/2019
Last updated
02/25/2019
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