MEDICARE: ANCHOR BEHAVIORAL SOLUTIONS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1528927886
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANCHOR BEHAVIORAL SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	59 MAIN ST STE 310
Second Line	:
City	:	WEST ORANGE
State	:	NJ
Zip	:	07052-5333
Country	:	US
Telephone Number	:	862-343-6611
Fax Number	:	844-383-2420

Provider Business Practice Location Address
First Line	:	1725 E HIGHWAY 50 STE C
Second Line	:
City	:	CLERMONT
State	:	FL
Zip	:	34711-5188
Country	:	US
Telephone Number	:	352-431-8453
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF FINANCE & RECRUITING
Name	:	GABRIELA BURGOS
Credential	:
Telephone Number	:	862-343-6611

Provider Enumeration Date	:	01/21/2026
Last Update Date	:	01/21/2026

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