Ambra Mack

NPI #1902229099 in Antlers, Oklahoma

Provider Information

NPI Number: 1902229099
Entity Type: Individual
Name: Ambra Mack
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Jan 27, 2014
Last Updated: Jan 27, 2014

Practice Location

Address: 1322 W MAIN ST
City: Antlers
State: Oklahoma
ZIP Code: 74523-2016
Phone: (580) 298-5062

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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