Amanda Providence

NPI #1538815097 in Longmont, Colorado

Provider Information

NPI Number: 1538815097
Entity Type: Individual
Name: Amanda Providence
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 23, 2022
Last Updated: Feb 23, 2022

Practice Location

Address: 1233 SHERMAN DR
City: Longmont
State: Colorado
ZIP Code: 80501-6133
Phone: (720) 449-6676

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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