Individual
ERIC ANDREW WATERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4104 BAYFORD CT, CHESAPEAKE, VA 23321-6217
(757) 870-6672
Mailing address
4104 BAYFORD CT, CHESAPEAKE, VA 23321-6217
(757) 870-6672
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-236981
VA
Other
Enumeration date
09/30/2022
Last updated
09/30/2022
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