Provider Demographics
NPI:1801690169
Name:ANDERSON THERAPY GROUP ABA LLC
Entity type:Organization
Organization Name:ANDERSON THERAPY GROUP ABA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/BCBA
Authorized Official - Prefix:
Authorized Official - First Name:SYDNEY
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:ALDEN
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:812-344-9221
Mailing Address - Street 1:2068 CHEYENNE TRAIL
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:IN
Mailing Address - Zip Code:47203
Mailing Address - Country:US
Mailing Address - Phone:812-344-9221
Mailing Address - Fax:
Practice Address - Street 1:2068 CHEYENNE TRAIL
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:IN
Practice Address - Zip Code:47203
Practice Address - Country:US
Practice Address - Phone:812-344-9221
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health