Most Relevant Information
Provider Data
NPI Number: | 1003380742 |
Provider Name: | AMY ANDERSON |
Entity Type: | Individual |
Taxonomy Code: | 106S00000X |
Specialty: | Behavior Technician |
License Number: | RBT-16-18583 |
Most Important Dates
Enumeration Date: | 01/16/2019 |
Last Updated: | 01/16/2019 |
Provider Practice Location
820 DUKE AVE STE A
WARNER ROBINS
GA
310932684
Practice Location Phone/Fax
Phone: | 4782253880 |
Fax: | 6155775654 |
Provider Mailing Location
1321 MURFREESBORO PIKE STE 702
NASHVILLE
TN
372172679
Provider Mailing Phone/Fax
Phone: | |
Fax: | 6155775654 |