Individual
ANDREYA MICHAEL WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
68583 SCOTT ST., BRIDGEPORT, OH 43912
(740) 298-7078
Mailing address
PO BOX 775, BARTON, OH 43905-0775
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-73332
—
Other
Enumeration date
10/19/2021
Last updated
06/03/2024
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