Individual
AMBER TRIVETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
613 SHINING STAR LN, AVON, IN 46123-9890
(317) 372-5303
Mailing address
613 SHINING STAR LN, AVON, IN 46123-9890
(317) 372-5303
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
09/21/2007
Last updated
09/21/2007
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