Amanda Grogan

NPI #1497389449 in Sycamore, Illinois

Provider Information

NPI Number: 1497389449
Entity Type: Individual
Name: Amanda Grogan
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Feb 28, 2020
Last Updated: Feb 28, 2020

Practice Location

Address: 1202 JENNY DR APT E
City: Sycamore
State: Illinois
ZIP Code: 60178-9594
Phone: (630) 899-9365

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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