Individual
AMAYA COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
621 N CREEK DR, RAPID CITY, SD 57703-2222
(605) 206-5004
Mailing address
621 N CREEK DR, RAPID CITY, SD 57703-2222
(605) 206-5004
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-426657
SD
Other
Enumeration date
04/09/2025
Last updated
04/09/2025
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