Individual
AMANDA MUSSELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
3130 CHATHAM RD STE A, SPRINGFIELD, IL 62704-5379
(847) 247-7222
Mailing address
PO BOX 639561, CINCINNATI, OH 45263-6395
(844) 247-7222
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-255979
IL
Other
Enumeration date
04/20/2023
Last updated
04/20/2023
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