Individual
AMANDA EGBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3006 MAIN ST APT 4, SPRINGFIELD, MA 01107-1561
(413) 588-2154
Mailing address
3006 MAIN ST APT 4, SPRINGFIELD, MA 01107-1561
(413) 588-2154
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/09/2022
Last updated
03/09/2022
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