P Praxis·MD
● Active Type 1 · Individual

Autumn Rose Anderson

Behavior Technician·Meridian, ID· NPI 1770229544 · Enumerated 2022 · 4 years on NPI
Anderson is 1 of 240 behavior technician providers in Meridian and 1 of 1155 in Idaho.
NPI age
4 years
Enumerated 2022-05-05
Primary specialty
Behavior Technician
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-05-05
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1155 active behavior technician providers in Idaho.

NPI age
4 years
↑ 2 yr above median (2 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
3% of peers hold subspecialties

NPI lifetime · 2022 → 2026

2022-05Enumerated in NPPES
2022 2026

Where they practice

Practice location
2549 North Stokesberry Place
Meridian, ID 83646
📞 2089184665
Mailing address
9201 Oakdale Ave Ste 101
Chatsworth, CA 913116546

Specialties

  • Behavior Technician Primary
    The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state...
    ID license #12685 taxonomy 106S00000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

Recently enumerated nearby: 55 new behavior technician providers have been added in Meridian in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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