Individual
ERIN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 SHADOW LAKES BLVD APT 10, ORMOND BEACH, FL 32174-5027
(352) 332-8588
Mailing address
500 SHADOW LAKES BLVD APT 10, ORMOND BEACH, FL 32174-5027
(386) 344-3808
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
11/25/2019
Last updated
09/28/2023
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