Individual
AMBER HERSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
906 SEMINOLE DR, FORT PIERCE, FL 34982-7648
(772) 216-2501
Mailing address
906 SEMINOLE DR, FORT PIERCE, FL 34982-7648
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-24-15063
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111490600
—
FL
Enumeration date
11/12/2021
Last updated
02/19/2024
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