Individual
ELIZABETH ROSE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1372 MOUNT VERNON RD., FORT LAWN,, SC 29714
(850) 818-0095
Mailing address
PO BOX 749, BELMONT, NC 28012-0749
(704) 869-2088
(980) 288-4239
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/02/2018
Last updated
10/04/2024
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