Most Relevant Information
Provider Data
| NPI Number: | 1003634973 |
| Provider Name: | AMBER LUREACIE ESTELLE DIXON |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/30/2024 |
| Last Updated: | 09/30/2024 |
Provider Practice Location
1051 TIFFANY S
YOUNGSTOWN
OH
445141977
Practice Location Phone/Fax
| Phone: | 3306292955 |
| Fax: |
Provider Mailing Location
1051 TIFFANY S. BLVD.
POLAND
OH
44514
Provider Mailing Phone/Fax
| Phone: | 3306292955 |
| Fax: |