Individual
AMY NI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5125 DECATUR BLVD, INDIANAPOLIS, IN 46241-9570
(317) 856-5201
Mailing address
10459 KENSINGTON WAY, INDIANAPOLIS, IN 46234-2594
(317) 270-7699
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/26/2023
Last updated
10/26/2023
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