Individual
BRETT MONTGOMERY ANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8350 CRAIG ST, INDIANAPOLIS, IN 46250-3593
(317) 578-0410
Mailing address
8245 VICELA DR, SARASOTA, FL 34240-1462
(800) 210-0814
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/30/2023
Last updated
03/10/2025
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