Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Anthony Wade

Individual provider Behavior Technician · NPI 1063269322

Anthony Wade is a Behavior Technician in Lakeland, Florida. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

454 W Pipkin Rd
Lakeland, FL 33813-2545
Phone: (863) 619-2809
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1063269322
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 3, 2024
Last updated in NPPESApril 1, 2025
Certification dateApril 1, 2025
Mailing address15406 Grand Haven Dr, Clermont, FL 34714-6172

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