Individual
MRS. AMANDA GRACE FROMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4 E DEPEW AVE APT 4, BUFFALO, NY 14214-1834
(716) 803-8604
Mailing address
4 E DEPEW AVE APT 4, BUFFALO, NY 14214-1834
(352) 643-0215
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
10/21/2017
Last updated
10/21/2017
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