Most Relevant Information
Provider Data
| NPI Number: | 1003634965 |
| Provider Name: | ANIA CARSON |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/30/2024 |
| Last Updated: | 09/30/2024 |
Provider Practice Location
618 VILLAGE DR
VIRGINIA BEACH
VA
234544250
Practice Location Phone/Fax
| Phone: | 7576788191 |
| Fax: |
Provider Mailing Location
3045 N COMMERCE PKWY
MIRAMAR
FL
330253927
Provider Mailing Phone/Fax
| Phone: | 7869538500 |
| Fax: |