Individual
AMY L SIPPL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.C.B.A.
Contact information
Practice address
2419 WASHINGTON AVE, MONTEVIDEO, MN 56265-2619
(715) 610-6396
Mailing address
2419 WASHINGTON AVE, MONTEVIDEO, MN 56265-2619
(715) 610-6396
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-27512
MN
Other
Enumeration date
09/29/2017
Last updated
04/13/2023
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