Individual
AMANDIA HATIJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3070 RIVERSIDE DR STE 200, COLUMBUS, OH 43221-2547
(866) 523-4268
Mailing address
72 EUCLID AVE, COLUMBUS, OH 43201-2530
(248) 719-9689
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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