Individual
MR. ERIC MARTIN SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
QMHS-BACH
Contact information
Practice address
2285 BENDEN DR, WOOSTER, OH 44691-2568
(330) 264-9029
Mailing address
2285 BENDEN DR, WOOSTER, OH 44691-2568
(330) 264-9029
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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