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

Autumn Rose Anderson

Individual provider Behavior Technician · NPI 1770229544

Autumn Rose Anderson is a Behavior Technician in Meridian, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2022

Practice location Address checks out

2549 N Stokesberry Pl
Meridian, ID 83646
Phone: (208) 918-4665
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence 12685 (ID)

Record details

NPI number1770229544
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 5, 2022
Last updated in NPPESMay 5, 2022
Certification dateApril 19, 2022

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