Individual
ELIZABETH ANNE WEBBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1680 E CENTRAL AVE, MERRITT ISLAND, FL 32952-5675
(855) 832-6727
Mailing address
4575 SE DIXIE HWY, STUART, FL 34997-6826
(386) 589-2958
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
18-52041
FL
247200000X
Other Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017422400
—
FL
05
—
247200000X
—
FL
Enumeration date
03/26/2018
Last updated
03/26/2018
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