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Individual

AMANDA TAYLOR LECKIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
501 WALL ST, VALPARAISO, IN 46383-2537
(317) 960-4052
Mailing address
501 WALL ST, VALPARAISO, IN 46383-2537
(317) 960-4052

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
01/30/2026
Last updated
01/30/2026
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