Individual
ELIZABETH AYANI TARVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
285 COUNTRY CLUB DR, STOCKBRIDGE, GA 30281-7385
(470) 944-1025
Mailing address
126 BELGIAN CT, HAMPTON, GA 30228-3524
(678) 717-9909
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/01/2025
Last updated
04/01/2025
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