Individual
ELIZABETH G LAROCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BEHAVIOR
Contact information
Practice address
106 ANDERSON WAY, BRUNSWICK, GA 31520-1601
(912) 617-8889
(912) 342-4977
Mailing address
106 ANDERSON WAY, BRUNSWICK, GA 31520-1601
(912) 617-8889
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-151335
GA
Other
Enumeration date
01/27/2021
Last updated
01/27/2021
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