Individual
ANIAH FILLMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
148 A WINDING WAY, LEESBURG, GA 31763
(727) 460-0884
Mailing address
148 A WINDING WAY, LEESBURG, GA 31763
(727) 460-0884
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
05/05/2026
Last updated
05/05/2026
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