Individual
AMANDA BURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1582 POOL HILL DR, NEW ALBIN, IA 52160-7544
(608) 413-4825
Mailing address
1582 POOL HILL DR, NEW ALBIN, IA 52160-7544
(608) 413-4825
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
821AK4888
IA
Other
Enumeration date
10/24/2025
Last updated
10/24/2025
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