Individual
GAVIN ALAN EBERHARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
765 PIERCE DR, COLUMBUS, OH 43223-2425
(614) 233-1650
(888) 679-9808
Mailing address
5603 DEFOREST DR, COLUMBUS, OH 43232-7515
(614) 638-6285
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/31/2018
Last updated
05/15/2020
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