Individual
AMANDA BOTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
9220 MENTOR AVE, MENTOR, OH 44060-6412
(440) 354-9924
(440) 205-1040
Mailing address
9220 MENTOR AVE, MENTOR, OH 44060-6412
(440) 354-9924
(440) 205-1040
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/03/2018
Last updated
08/03/2018
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