Individual
ANJERICA DONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 SE FEDERAL HWY STE 220, STUART, FL 34994-4556
(772) 678-6704
(772) 221-9969
Mailing address
2400 SE FEDERAL HWY STE 220, STUART, FL 34994-4556
(772) 678-6704
(772) 221-9969
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-62959
FL
106S00000X
Behavior Technician
RBT-18-71693
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022577600
—
FL
Enumeration date
06/07/2019
Last updated
01/03/2023
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