Individual
EDEN B WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
807 DONNELL BLVD STE Q, DALEVILLE, AL 36322-2111
(334) 791-5113
Mailing address
807 DONNELL BLVD STE Q, DALEVILLE, AL 36322-2111
(334) 791-5113
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/31/2025
Last updated
05/31/2025
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