Amanda Bourque

NPI #1013726165 in Fitchburg, Massachusetts

Provider Information

NPI Number: 1013726165
Entity Type: Individual
Name: Amanda Bourque
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 3, 2025
Last Updated: Jan 3, 2025

Practice Location

Address: 207 AUTHORITY DR
City: Fitchburg
State: Massachusetts
ZIP Code: 01420-6044
Phone: (866) 727-8274

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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