Individual
AMY INGMIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
12286 UTICA ST, BROOMFIELD, CO 80020-5640
(720) 352-7458
Mailing address
12286 UTICA ST, BROOMFIELD, CO 80020-5640
(720) 352-7458
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-56108
CO
Other
Enumeration date
10/29/2018
Last updated
10/29/2018
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