Most Relevant Information
Provider Data
| NPI Number: | 1003389305 |
| Provider Name: | AMY NICOLE GARRISON |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/09/2019 |
| Last Updated: | 01/09/2019 |
Provider Practice Location
75 PARK CREEK DR STE 104
CLOVIS
CA
936114432
Practice Location Phone/Fax
| Phone: | 5594609090 |
| Fax: |
Provider Mailing Location
21600 OXNARD ST STE 1800
WOODLAND HILLS
CA
913677807
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |