NPI 1023989258

Imani Willow Anderson

Practitioner Behavior Technician Brookfield, WI

Practice location

Address: 200 N Patrick Blvd STE 250, Brookfield, WI 53045-5883
Phone: (888) 754-0398
Mailing address: 3763 N 12th St, Milwaukee, WI 53206-3004

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registry record

NPI: 1023989258
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Sep 2025
Record last updated: 12 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.