Individual
JUSTIN WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1441 ONNESTA CT, ABERDEEN, MD 21001-3910
(434) 245-8828
Mailing address
1441 ONNESTA CT, ABERDEEN, MD 21001-3910
(843) 424-5882
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA1192
MD
Other
Enumeration date
04/10/2018
Last updated
06/24/2022
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