Individual
AMAYA GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1211 W NORTH ST, JACKSON, MI 49202-3132
(517) 513-3297
Mailing address
2400 SCIENCE PKWY, OKEMOS, MI 48864-2560
(517) 374-8066
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/26/2022
Last updated
10/26/2022
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