MRS. Amanda Tatham, RBT-17-43450

NPI #1013406743 in Freeport, Illinois

Provider Information

NPI Number: 1013406743
Entity Type: Individual
Name: MRS. Amanda Tatham, RBT-17-43450
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Credential: RBT-17-43450
Enumeration Date: May 8, 2018
Last Updated: May 8, 2018

Practice Location

Address: 621 S LOCUST AVE
City: Freeport
State: Illinois
ZIP Code: 61032-5028
Phone: (815) 541-2929

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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