Individual
ELIZABETH RENAE WOOTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16941 N EAGLE RIVER LOOP RD, EAGLE RIVER, AK 99577-7824
(907) 726-5330
Mailing address
2727 PACES FERRY RD SE STE 750, ATLANTA, GA 30339-4053
(850) 240-3344
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
Primary
RBT-16-21057
AK
Other
Enumeration date
01/04/2018
Last updated
02/09/2026
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