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Individual

JOY WEAVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
204 N MAIN ST, ENTERPRISE, AL 36330-2539
(334) 379-1047
Mailing address
305 ASHLEY DR, OZARK, AL 36360-3436
(334) 369-9364

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-206997
AL

Other

Enumeration date
04/13/2022
Last updated
04/13/2022
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