MEDICARE: ANITA DAI BCBA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst	1-21-56411	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033496211
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANITA DAI BCBA

Provider Business Mailing Address
First Line	:	852 LAGO RD
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33445-4516
Country	:	US
Telephone Number	:	201-658-7558
Fax Number	:

Provider Business Practice Location Address
First Line	:	1326 N DIXIE HWY STE 1
Second Line	:
City	:	LAKE WORTH BEACH
State	:	FL
Zip	:	33460-1839
Country	:	US
Telephone Number	:	305-440-7162
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/15/2011
Last Update Date	:	12/14/2025

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