Individual
CHANTICE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20611 EUCLID AVE, EUCLID, OH 44117-1521
(855) 967-2436
Mailing address
225 E 218TH ST, EUCLID, OH 44123-1727
(216) 225-4900
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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