Justice Waters

NPI #1710617477 in Smyrna, Delaware

Provider Information

NPI Number: 1710617477
Entity Type: Individual
Name: Justice Waters
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 15, 2022
Last Updated: Jun 15, 2022

Practice Location

Address: 28 E MOUNT VERNON ST
City: Smyrna
State: Delaware
ZIP Code: 19977-1483
Phone: (302) 278-0052

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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