Individual
AMANDA NIEMIEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2035 SW 75TH ST STE B, GAINESVILLE, FL 32607-3425
(877) 823-4283
Mailing address
1824 TOUBY PIKE STE B, KOKOMO, IN 46901-2573
(765) 628-7400
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/29/2017
Last updated
12/29/2017
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