Elizabeth Marie Larson

NPI #1144077447 in Riverdale, Georgia

Provider Information

NPI Number: 1144077447
Entity Type: Individual
Name: Elizabeth Marie Larson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: May 3, 2024
Last Updated: May 3, 2024

Practice Location

Address: 207 UPPER RIVERDALE RD SW
City: Riverdale
State: Georgia
ZIP Code: 30274-2585
Phone: (888) 329-4535

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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