Healthcare Provider Details

I. General information

NPI: 1225841216
Provider Name (Legal Business Name): ANIYA L MORGAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/31/2025
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11510 57TH STREET CIR E
PARRISH FL
34219-5817
US

IV. Provider business mailing address

11510 57TH STREET CIR E
PARRISH FL
34219-5817
US

V. Phone/Fax

Practice location:
  • Phone: 941-744-1211
  • Fax:
Mailing address:
  • Phone: 941-744-1211
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-25-408471
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: