Individual
AMY C SANBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
42 VALLEY RD, MIDDLETOWN, RI 02842-6400
(401) 846-1213
Mailing address
42 VALLEY RD, MIDDLETOWN, RI 02842-6400
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC00456-A
RI
106S00000X
Behavior Technician
Primary
—
CT
Other
Enumeration date
01/20/2023
Last updated
03/16/2026
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