Individual
AMANDA MICHELLE GALVAN TREJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5250 E US HIGHWAY 36 STE 360, AVON, IN 46123-9151
(463) 297-7792
Mailing address
8846 MEDORA DR APT 1D, CAMBY, IN 46113-8399
(463) 297-7792
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-474259
IN
Other
Enumeration date
09/24/2025
Last updated
09/24/2025
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