Healthcare Provider Details

I. General information

NPI: 1679499339
Provider Name (Legal Business Name): SARAI ANANDA JAMES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1242 S PINE ISLAND RD APT 503
PLANTATION FL
33324-4571
US

IV. Provider business mailing address

5030 NW 42ND CT
LAUDERDALE LAKES FL
33319-4682
US

V. Phone/Fax

Practice location:
  • Phone: 754-715-6821
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-26-547558
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: