Individual
ANSLEY C. HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1717 S. ORANGE AVE., SUITE 100, NEMOURS CHILDRENS CLINIC, ORLANDO, ORLANDO, FL 32806-2946
(407) 650-7000
(407) 567-5924
Mailing address
P.O. BOX 191, PROVIDER ENROLLMENT DEPARTMENT, ROCKLAND, DE 19732-0191
(302) 298-7371
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-05-2575
FL
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010878300
—
FL
Enumeration date
11/22/2010
Last updated
04/22/2015
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