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NPI Code Detail

MEDICARE: ANURADHA TRIVEDI

MEDICARE: ANURADHA TRIVEDI
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1093594426
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANURADHA TRIVEDI
Provider Business Mailing Address
First Line : 670 W FIREWEED LN STE 160
Second Line :
City : ANCHORAGE
State : AK
Zip : 99503-2561
Country : US
Telephone Number : 907-770-0862
Fax Number : 999-999-9999
Provider Business Practice Location Address
First Line : 601 S LAKE DESTINY RD STE 350
Second Line :
City : MAITLAND
State : FL
Zip : 32751-7222
Country : US
Telephone Number : 407-647-6555
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2023
Last Update Date : 02/16/2026

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Directions to “ ANURADHA TRIVEDI ” Practice Location

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