Anderson, Misty Layne

Anderson, Misty Layne is an individual health care provider with primary practice located at 3022 S Park Ave , Herrin IL 62948-3721. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Anderson, Misty Layne can be contacted via phone (618) 967-1567.

Contact Information

Primary practice address
3022 S Park Ave Herrin IL 62948-3721
Phone: (618) 967-1567
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 152.002951 Illinois

Profile Details

NPI number 1346817160
LBN Legal business name Anderson, Misty Layne
Credentials RBT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2021
Last updated Sep 10th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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