SAVANNAH ANDERSON
NPI 1104331552
Behavior Analyst in Saint Marys, GA

Q: What is Savannah Anderson's NPI number?

The NPI number for Savannah Anderson is 1104331552. It was assigned to this individual provider in the NPPES registry on December 7, 2017.

Q: What is Savannah Anderson's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Q: When was this NPI record last updated?

The NPPES record for Savannah Anderson was last updated on January 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 07, 2017

107 INDUSTRIAL DR STE E, SAINT MARYS, GA 31558(904) 538-0713(904) 538-0714 Get Directions Write a Review

NPPES record last updated: January 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 24, 2022, Feb 19, 2020, Dec 7, 2017 (3 updates tracked since 2017).

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About Savannah Anderson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAVANNAH ANDERSON (NPI 1104331552) is an individual behavior analyst provider in Saint Marys, Georgia, licensed in Georgia (1-21-53069) and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1104331552

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameSAVANNAH ANDERSON

Location Address107 INDUSTRIAL DR STE ESaint Marys, GA 31558-4436

Mailing Address10175 Fortune Pkwy Unit 903Jacksonville, FL 32256-6755 · (904) 538-0713 · Fax (904) 538-0714

Phone(904) 538-0713

Fax(904) 538-0714

Sole ProprietorNo

Enumeration DateDecember 7, 2017

Last NPPES UpdateJanuary 24, 20223 updates tracked since enumeration

NPPES CertifiedJanuary 24, 2022

✔ NPI 1104331552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

License✔ Licensed in GA · 1-21-53069

Definition

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Also ListedBehavior TechnicianTaxonomy 106S00000X · License RBT-17-30465

107 INDUSTRIAL DR STE E, Saint Marys, GA 31558

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TYLER BUNKLEY

Behavior Technician