Individual
ELEDRA WILLAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT 17-29578
Contact information
Practice address
1260 UPPER HEMBREE RD STE D, ROSWELL, GA 30076-4611
(866) 610-0580
Mailing address
175 MIDDLE ST UNIT 1201, LAKE MARY, FL 32746-3625
(866) 610-0580
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-17-29578
IL
Other
Enumeration date
05/17/2018
Last updated
01/14/2019
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