Individual
AMY ELIZABETH TANNEHILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11808 N OHIO ST, DUNNELLON, FL 34431-6724
(352) 342-5006
Mailing address
11808 N OHIO ST, DUNNELLON, FL 34431-6724
(352) 342-5006
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT22246728
FL
Other
Enumeration date
12/02/2022
Last updated
12/02/2022
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