Provider Demographics
NPI:1891020194
Name:SAKSEFSKI, ANN M (MS, BCBA)
Entity type:Individual
Prefix:MS
First Name:ANN
Middle Name:M
Last Name:SAKSEFSKI
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:300 INTERNATIONAL PKWY STE 200
Mailing Address - Street 2:
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-5028
Mailing Address - Country:US
Mailing Address - Phone:407-915-7723
Mailing Address - Fax:407-588-6294
Practice Address - Street 1:4235 RACHEL BLVD
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34607-2529
Practice Address - Country:US
Practice Address - Phone:352-505-9428
Practice Address - Fax:352-559-0970
Is Sole Proprietor?:No
Enumeration Date:2009-10-05
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1-09-5689103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL002402300Medicaid