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General NPI Number Information
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NPI Number | 1538015615
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Entity Type | Organization
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Legal Business Name | ANCHORED BEHAVIOR CONSULTING
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Dates
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Enumeration Date | 03/10/2026
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Last Update Date | 03/10/2026
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Provider Practice Location Address
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Address Line | 390 ARLINGTON DR
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City | CHARLESTON
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State | SC
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Zip | 29414-5000
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Country | US
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Telephone | 207-831-9018
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Fax |
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Provider Business Mailing Address
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Address Line | 390 ARLINGTON DR
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City | CHARLESTON
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State | SC
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Zip | 29414-5000
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Country | US
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Telephone | 207-831-9018
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Fax |
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Authorized Official
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Title or Position | CHIEF CLINICAL OFFICER
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Name | MRS. ALEXIS IZZO
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Credential | BCBA, LBA
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Telephone | 207-831-9018
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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