Individual
AMBER TYLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1014 HOLLAND AVE, PORT HURON, MI 48060-1513
(810) 937-5012
Mailing address
1014 HOLLAND AVE, PORT HURON, MI 48060-1513
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/14/2023
Last updated
12/14/2023
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