Individual
DAVID WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
931 W WATER ST, PORTLAND, IN 47371-1755
(260) 726-9348
Mailing address
240 N TILLOTSON AVE, MUNCIE, IN 47304-3988
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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