Organization
ANCHORED ABA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EBONY CONLEY MA, BCBA (OWNER)
(757) 648-0854
Entity
Organization
Contact information
Practice address
79368 PLUMMERS CREEK DR, YULEE, FL 32097-2674
(757) 648-0854
Mailing address
79368 PLUMMERS CREEK DR, YULEE, FL 32097-2674
(757) 648-0854
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113058400
—
FL
Enumeration date
12/16/2024
Last updated
12/16/2024
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