Individual
AMANDA TARADY KEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7 BARRY RD APT 3, PROVIDENCE, RI 02909-4226
(401) 648-1863
Mailing address
7 BARRY RD APT 3, PROVIDENCE, RI 02909-4226
(401) 648-1863
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/11/2020
Last updated
02/11/2020
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