Healthcare Provider Details

I. General information

NPI: 1164314399
Provider Name (Legal Business Name): ANAIS LINGO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2025
Last Update Date: 08/16/2026
Certification Date: 08/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

261 N UNIVERSITY DR
PLANTATION FL
33324-2002
US

IV. Provider business mailing address

18473 NW 22ND ST
PEMBROKE PINES FL
33029-3811
US

V. Phone/Fax

Practice location:
  • Phone: 954-931-1803
  • Fax:
Mailing address:
  • Phone: 832-373-0415
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: