Eric Andrew Waterman
Behavior Technician in Chesapeake, VA. Individual provider (NPI-1).
NPI number1609590801
StatusActive
Last updated in NPPESSep 30, 2022
Details
- NPI
- 1609590801
- Entity type
- Individual (NPI-1)
- Name
- Eric Andrew Waterman
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 30, 2022
- Certification date
- Sep 30, 2022
- Last updated
- Sep 30, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-22-236981 | VA | Yes |
Practice location
4104 Bayford CtChesapeake, VA 23321-6217
Phone 757-870-6672
Mailing address
4104 Bayford CtChesapeake, VA 23321-6217
Phone 757-870-6672
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