National Provider Identifier
Jason William Anderson, SPECIAL EDUCATION
Jason William Anderson, SPECIAL EDUCATION is listed in the NPPES registry with a primary specialty of Developmental Therapist in Castile, NY and a listed phone number of (585) 217-7698.
Profile Overview
- NPI
- 1043653561
- Provider Type
- Individual
- Primary Specialty
- Developmental Therapist
- Enumeration Date
- April 15, 2013
- Last Updated
- April 15, 2013
Practice Location
- 72 S Main St
- Castile, NY 14427-9604
Phone: (585) 217-7698
Specialties
- Developmental Therapist (222Q00000X)
Full Record
- NPI
- 1043653561
- Entity Type
- Individual
- Last Name
- Anderson
- First Name
- Jason
- Middle Name
- William
- Name Prefix
- Mr.
- Credential
- SPECIAL EDUCATION
- Mailing Street Address
- 72 S Main St
- Mailing City
- Castile
- Mailing State
- NY
- Mailing ZIP Code
- 14427-9604
- Mailing Country
- US
- Mailing Phone
- (585) 217-7698
- Practice Street Address
- 72 S Main St
- Practice City
- Castile
- Practice State
- NY
- Practice ZIP Code
- 14427-9604
- Practice Country
- US
- Practice Phone
- (585) 217-7698
- Enumeration Date
- April 15, 2013
- Last Updated
- April 15, 2013
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Developmental Therapist (222Q00000X)