Eamon Anderson
Behavior Technician in Niceville, FL. Individual provider (NPI-1).
NPI number1649802471
StatusActive
Last updated in NPPESFeb 10, 2020
Details
- NPI
- 1649802471
- Entity type
- Individual (NPI-1)
- Name
- Eamon Anderson
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 10, 2020
- Certification date
- Feb 10, 2020
- Last updated
- Feb 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | FL | Yes |
Practice location
4673 E Highway 20Niceville, FL 32578-9796
Phone 850-607-6910 · Fax 850-607-6932
Mailing address
3771 Stefani RdCantonment, FL 32533-7795
Phone 850-607-6910 · Fax 850-607-6932
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