Individual
ELISHA FARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 WOODVIEW WAY APT 1124, ANDOVER, MA 01810-4575
(864) 608-0458
Mailing address
100 WOODVIEW WAY APT 1124, ANDOVER, MA 01810-4575
(864) 608-0458
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/03/2017
Last updated
11/03/2017
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