Individual
AMANDA BOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
785 KELLER RD, AFTON, TN 37616-6423
(828) 301-8211
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-230398
TN
Other
Enumeration date
02/16/2023
Last updated
02/17/2023
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