Individual
AMANDA R KOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
4015 CRESCENT PARK DR, RIVERVIEW, FL 33578-3605
(813) 492-8310
Mailing address
4015 CRESCENT PARK DR, RIVERVIEW, FL 33578-3605
(813) 492-8310
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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