Individual
AMBER DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
101 SAINT GEORGE BLVD APT 75, SAVANNAH, GA 31419-9344
(724) 601-3466
(904) 538-0714
Mailing address
10175 FORTUNE PKWY UNIT 903, JACKSONVILLE, FL 32256-6755
(904) 538-0713
(904) 538-0714
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
21-182463
PA
Other
Enumeration date
09/16/2021
Last updated
01/21/2022
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