Most Relevant Information
Provider Data
| NPI Number: | 1003477100 |
| Provider Name: | AMY L SHARP |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/28/2019 |
| Last Updated: | 06/28/2019 |
Provider Practice Location
1900 INDIAN WOOD CIR STE 100
MAUMEE
OH
435374033
Practice Location Phone/Fax
| Phone: | 4198300078 |
| Fax: |
Provider Mailing Location
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS
IN
462686135
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |