Provider Demographics
NPI:1558026476
Name:ANNE SAYRE BEHAVIORAL THERAPY LLC
Entity Type:Organization
Organization Name:ANNE SAYRE BEHAVIORAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:SAYRE
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:386-627-4866
Mailing Address - Street 1:94 KALAMAZOO TRL
Mailing Address - Street 2:
Mailing Address - City:PALM COAST
Mailing Address - State:FL
Mailing Address - Zip Code:32164-5647
Mailing Address - Country:US
Mailing Address - Phone:386-627-4866
Mailing Address - Fax:
Practice Address - Street 1:94 KALAMAZOO TRL
Practice Address - Street 2:
Practice Address - City:PALM COAST
Practice Address - State:FL
Practice Address - Zip Code:32164-5647
Practice Address - Country:US
Practice Address - Phone:386-627-4866
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-04
Last Update Date:2021-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty