Most Relevant Information
Provider Data
| NPI Number: | 1003516469 |
| Provider Name: | AMBER LEIGH ENGELSMA |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-23-261803 |
Most Important Dates
| Enumeration Date: | 03/06/2023 |
| Last Updated: | 03/06/2023 |
Provider Practice Location
225 MAIN ST STE 3
DESTIN
FL
325412550
Practice Location Phone/Fax
| Phone: | 8507810406 |
| Fax: | 8503785233 |
Provider Mailing Location
225 MAIN ST STE 3
DESTIN
FL
325412550
Provider Mailing Phone/Fax
| Phone: | 8507810406 |
| Fax: | 8503785233 |