Individual
BLAIR ELIZABETH HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
68583 SCOTT STREET, BRIDGEPORT, OH 43912
(740) 298-7078
(740) 298-7078
Mailing address
68583 SCOTT STREET, BRIDGEPORT, OH 43912
(740) 298-7078
(740) 298-7078
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-55525
OH
106S00000X
Behavior Technician
—
—
Other
Enumeration date
10/13/2020
Last updated
12/07/2021
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