Individual
AMBER LYNNE MANGUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
5100 78TH AVE N STE 6, PINELLAS PARK, FL 33781-2407
(727) 289-9626
Mailing address
246 22ND AVE SE, SAINT PETERSBURG, FL 33705-2831
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-274737
FL
Other
Enumeration date
05/22/2023
Last updated
05/24/2023
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