Basic Information
| Provider Information | |||||||||
| NPI: | 1043792906 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SINGER | ||||||||
| FirstName: | ANNA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 28655 AVENIDA MARBELLA | ||||||||
| Address2: | |||||||||
| City: | MENIFEE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 925848114 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8056240414 | ||||||||
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| Practice Location | |||||||||
| Address1: | 16636 BAIRD CIR | ||||||||
| Address2: | |||||||||
| City: | EAGLE RIVER | ||||||||
| State: | AK | ||||||||
| PostalCode: | 995776711 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2536866958 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/06/2018 | ||||||||
| LastUpdateDate: | 07/14/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/14/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 106S00000X | RBT-18-57017 | TX | N | 103K00000X | CA | N | Behavioral Health & Social Service Providers | Behavioral Analyst | 103K00000X | 1-22-59467 | CA | Y | Behavioral Health & Social Service Providers | Behavioral Analyst |
No ID Information.