Individual
ELLIOTT ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
ONE WORLD TRADE CENTER, 121 SOUTHWEST SALMON STREET, 11TH FLOOR, PORTLAND, OR 97204-0000
(855) 832-6727
(772) 675-9100
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12155668
SC
Other
Enumeration date
11/19/2021
Last updated
02/03/2026
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