Individual
ELIZA ARLENE EASTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1021 CHECKREIN AVE, COLUMBUS, OH 43229-1106
(614) 844-3800
Mailing address
10310 STATE ROUTE 161 E # 1, PLAIN CITY, OH 43064-9278
(937) 209-8012
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2615030
—
OH
Enumeration date
02/04/2022
Last updated
02/04/2022
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