Individual
AMAYA JOLYNN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
207 N PINE ST, SEYMOUR, IN 47274-2143
(812) 569-4884
Mailing address
3571 CARDINAL LN, COLUMBUS, IN 47203-4505
(812) 896-4764
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-487652
IN
Other
Enumeration date
11/01/2025
Last updated
11/01/2025
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