Candace Mary Amesquita

NPI #1841835733 in O Fallon, Illinois

Provider Information

NPI Number
1841835733
Entity Type
Individual
Name
Candace Mary Amesquita
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
Nov 14, 2019
Last Updated
Nov 14, 2019

Practice Location

Address
634 N MAIN ST STE 4
ZIP Code
62269-3746
Phone
(618) 726-5870

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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