Individual
ELIZABETH DAUGHTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
429 BUFORD L ROLIN DR, ATMORE, AL 36502-5190
(251) 368-9136
Mailing address
5811 JACK SPRINGS RD, ATMORE, AL 36502-5025
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2023-144
AL
Other
Enumeration date
11/04/2020
Last updated
11/29/2023
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