Individual
AMY NIEMIEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
203 S ELMER AVE, SAYRE, PA 18840-2019
(607) 760-9520
Mailing address
203 S ELMER AVE, SAYRE, PA 18840-2019
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/08/2020
Last updated
05/08/2020
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