Healthcare Provider Details
I. General information
NPI: 1427976083
Provider Name (Legal Business Name): ANISHKA D REDDIE RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5100 W COPANS RD
MARGATE FL
33063-7747
US
IV. Provider business mailing address
3616 NW 29TH CT
LAUDERDALE LAKES FL
33311-8376
US
V. Phone/Fax
- Phone: 888-668-5114
- Fax: 954-793-4949
- Phone: 954-395-6776
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: