Provider Demographics
NPI:1679259295
Name:MCNAMEE, ANITA FRANCES
Entity Type:Individual
Prefix:
First Name:ANITA
Middle Name:FRANCES
Last Name:MCNAMEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2722 BOTANY AVE
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-4905
Mailing Address - Country:US
Mailing Address - Phone:941-504-2945
Mailing Address - Fax:
Practice Address - Street 1:1050 S EUCLID AVE
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34237-8100
Practice Address - Country:US
Practice Address - Phone:941-361-6400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-27
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-23-275783106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician