Individual
ERIC WELLSSHIVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
225 CEDAR HILL ST STE 200, MARLBOROUGH, MA 01752-5900
(678) 727-3737
Mailing address
100 6TH ST NE APT 2204, ATLANTA, GA 30308-1369
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/06/2021
Last updated
01/06/2021
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