Individual
AMANDA RUSHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10175 FORTUNE PKWY UNIT 802, JACKSONVILLE, FL 32256-6754
(912) 785-9027
Mailing address
PO BOX 253, SKILLMAN, NJ 08558-0253
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-294051
FL
Other
Enumeration date
09/01/2023
Last updated
09/01/2023
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