Anzalone, Derek

Anzalone, Derek is an individual health care provider with primary practice located at 400 E Pratt St Fl 8 , Baltimore MD 21202-3180. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Anzalone, Derek can be contacted via phone (866) 872-7601.

Contact Information

Primary practice address
400 E Pratt St Fl 8 Baltimore MD 21202-3180
Phone: (866) 872-7601
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1841891041
LBN Legal business name Anzalone, Derek
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2020
Last updated Aug 17th, 2021 - about 4 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 1841891041 NPPES
Other RBT-21-152468 RBT CERTIFICATION

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