Healthcare Provider Details

I. General information

NPI: 1144130600
Provider Name (Legal Business Name): ANDERSON LEARNING SOLUTIONS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 WILDFLOWER DR
RIDGE NY
11961-2664
US

IV. Provider business mailing address

30 WILDFLOWER DR
RIDGE NY
11961-2664
US

V. Phone/Fax

Practice location:
  • Phone: 917-574-1314
  • Fax:
Mailing address:
  • Phone: 917-574-1314
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: TRICIA ANDERSON
Title or Position: SPECIAL EDUCATOR
Credential:
Phone: 917-574-1314