Individual
MRS. AMANDA CARRA RUDISILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
58 RACETRACK RD, HANOVER, PA 17331-8974
(717) 353-1924
Mailing address
58 RACETRACK RD, HANOVER, PA 17331-8974
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-467955
PA
Other
Enumeration date
07/28/2026
Last updated
07/28/2026
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