Individual
AMANDA PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
5201 E VIRGINIA ST, EVANSVILLE, IN 47715-2656
(812) 436-1448
Mailing address
3006 EASTPOINT PKWY, LOUISVILLE, KY 40223-4185
(502) 795-0773
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-249720
IN
Other
Enumeration date
02/19/2025
Last updated
02/19/2025
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