Amber Lively

NPI #1073239455 in Mascotte, Florida

Provider Information

NPI Number: 1073239455
Entity Type: Individual
Name: Amber Lively
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Oct 17, 2022
Last Updated: Oct 31, 2022

Practice Location

Address: 3915 W CARDINAL PINE DR
City: Mascotte
State: Florida
ZIP Code: 34753-8861
Phone: (352) 636-8653

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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