Individual
AMANDA BENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT-21-168675
Contact information
Practice address
146 TIMBER CREEK DR STE 101, CORDOVA, TN 38018-4396
(901) 654-6993
Mailing address
5375 EVENING MIST DR, ARLINGTON, TN 38002-5015
(901) 828-9858
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-168675
TN
Other
Enumeration date
12/22/2022
Last updated
01/11/2023
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