Individual
AMANDA RENEE BUELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
2211 S PARK AVE STE 45&7, ALEXANDRIA, IN 46001-8084
(765) 705-4138
Mailing address
108 S BLACK ST, ALEXANDRIA, IN 46001-1924
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-238640
IN
Other
Enumeration date
02/25/2025
Last updated
02/25/2025
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