Individual
MISTY LAYNE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
3022 S PARK AVE, HERRIN, IL 62948-3721
(618) 967-1567
Mailing address
3022 S PARK AVE, HERRIN, IL 62948-3721
(618) 967-1567
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
152.002951
IL
Other
Enumeration date
06/09/2021
Last updated
09/10/2025
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