Amanda Grace Dietrich

NPI #1861046583 in Swartz Creek, Michigan

Provider Information

NPI Number: 1861046583
Entity Type: Individual
Name: Amanda Grace Dietrich
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 31, 2019
Last Updated: Jul 31, 2019

Practice Location

Address: 9001 MILLER RD
City: Swartz Creek
State: Michigan
ZIP Code: 48473-1115
Phone: (734) 244-2014

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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