Individual
AMY LYNN FETTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
3300 MAIN ST, ANDERSON, IN 46013-4233
(765) 400-4258
Mailing address
4944 N 375 E, ALEXANDRIA, IN 46001-8713
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-410866
IN
Other
Enumeration date
02/25/2025
Last updated
02/25/2025
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