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Andre L. Anderson, BCBA

NPI 1134398480ActiveIndividual· Contractor· Antioch, TN

Contractor (BCBA) in Antioch, Tennessee, licensed in TN, with an NPI issued in February 2008.

Overview

NPI1134398480
StatusActive
Entity typeIndividual
CredentialBCBA
Sole proprietorYes
NPI issuedFeb 20, 2008
Last updated in NPPESFeb 20, 2008

Specialties and licenses

TaxonomyCodeLicenseState
Contractor Primary171W00000X1-04-1884TN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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