Individual
AMIYA JO HATTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3482 MCCLURE AVE, WEST LAFAYETTE, IN 47906-4164
(765) 838-3547
Mailing address
2210 E 600 N, WEST LAFAYETTE, IN 47906-9014
(765) 427-2261
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
IN
Other
Enumeration date
12/28/2024
Last updated
12/28/2024
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