Provider Demographics
NPI:1467074872
Name:ANTON, DANTE
Entity Type:Individual
Prefix:
First Name:DANTE
Middle Name:
Last Name:ANTON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16685 CRENSHAW BLVD APT 7
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90504-2126
Mailing Address - Country:US
Mailing Address - Phone:310-989-4655
Mailing Address - Fax:
Practice Address - Street 1:16685 CRENSHAW BLVD
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90504-2151
Practice Address - Country:US
Practice Address - Phone:310-989-4655
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-08
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician