Provider Demographics
NPI:1932986148
Name:INIGUEZ, ANNE (BCBA)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:INIGUEZ
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6708 RIDGEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55439-1416
Mailing Address - Country:US
Mailing Address - Phone:480-206-8516
Mailing Address - Fax:
Practice Address - Street 1:6708 RIDGEVIEW DR
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55439-1416
Practice Address - Country:US
Practice Address - Phone:480-206-8516
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-11
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZBEH-001121103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst