Individual
AMY KOENIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A, BCBA
Contact information
Practice address
1320 MAIN ST STE 300, COLUMBIA, SC 29201-3266
(855) 832-6727
(772) 675-9100
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
(855) 832-6727
(772) 675-9100
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-37129
FL
106S00000X
Behavior Technician
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Other
Enumeration date
03/29/2018
Last updated
01/12/2024
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