Anderson, James Ross

Anderson, James Ross is an individual health care provider with primary practice located at 3781 Bayley Dr Ste B , Lafayette IN 47905-8657. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is his primary health care specialty. Anderson, James Ross can be contacted via phone (765) 201-4767.

Contact Information

Primary practice address
3781 Bayley Dr Ste B Lafayette IN 47905-8657
Phone: (765) 201-4767
Fax: (317) 520-8200
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-19-76423 Indiana
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-22-57572 Indiana

Profile Details

NPI number 1407460710
LBN Legal business name Anderson, James Ross
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 3rd, 2020
Last updated Feb 2nd, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407460710 NPPES
Indiana Other 1-22-57572 BEHAVIOR ANALYST CERTIFICATION BOARD

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