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Individual

AMY SIEBOLD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1100 KERMIT DR STE 100, NASHVILLE, TN 37217-2121
(614) 315-4860
Mailing address
1100 KERMIT DR STE 100, NASHVILLE, TN 37217-2121

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1418
TN
103K00000X
Behavior Analyst
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1473276
OH
Enumeration date
05/01/2017
Last updated
06/10/2025
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