Individual
ANISHA JANE STATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1900 N BAYSHORE DR, MIAMI, FL 33132-3001
(954) 400-3251
(954) 998-7326
Mailing address
1900 N BAYSHORE DR, MIAMI, FL 33132-3001
(954) 400-3251
(954) 998-7326
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-45066
FL
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
82-1412798
—
FL
Enumeration date
04/16/2018
Last updated
01/25/2021
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