Amanda Dal Soglio

NPI #1518564673 in Chiloquin, Oregon

Provider Information

NPI Number: 1518564673
Entity Type: Individual
Name: Amanda Dal Soglio
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 1, 2020
Last Updated: Oct 1, 2020

Practice Location

Address: 140 S 1ST AVE
City: Chiloquin
State: Oregon
ZIP Code: 97624-9738
Phone: (541) 591-5669

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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