Most Relevant Information
Provider Data
| NPI Number: | 1003341785 |
| Provider Name: | AMY SIEBOLD |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/01/2017 |
| Last Updated: | 12/12/2023 |
Provider Practice Location
101 TENNESSEE WAY
HENDERSONVILLE
TN
370753160
Practice Location Phone/Fax
| Phone: | 6292550339 |
| Fax: | 6158270363 |
Provider Mailing Location
300 INTERNATIONAL PKWY STE 200
LAKE MARY
FL
327465028
Provider Mailing Phone/Fax
| Phone: | 4079157729 |
| Fax: | 4075886294 |